Basic Information
| Provider Information | |||||||||
| NPI: | 1952573388 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUI | ||||||||
| FirstName: | YEN | ||||||||
| MiddleName: | KIM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MDPHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1263 7TH AVE | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941222505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6264970431 | ||||||||
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| Practice Location | |||||||||
| Address1: | 505 PARNASSUS AVE # 110 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154766245 | ||||||||
| FaxNumber: | 4154764009 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2008 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A102797 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.