Provider Demographics
NPI:1013027838
Name:BUI, AMY THU (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:THU
Last Name:BUI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:26522 LA ALAMEDA
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6330
Mailing Address - Country:US
Mailing Address - Phone:949-282-1671
Mailing Address - Fax:949-367-0518
Practice Address - Street 1:26800 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6384
Practice Address - Country:US
Practice Address - Phone:949-542-8004
Practice Address - Fax:949-364-3682
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-10-15
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Provider Licenses
StateLicense IDTaxonomies
CAA82140207RE0101X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGW153ZMedicare PIN