Provider Demographics
NPI: | 1013537323 |
---|---|
Name: | BUIBUI REHABILITATION SERVICES LLC |
Entity Type: | Organization |
Organization Name: | BUIBUI REHABILITATION SERVICES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JULIEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BUI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 818-383-4108 |
Mailing Address - Street 1: | 17337 HARTLAND ST |
Mailing Address - Street 2: | |
Mailing Address - City: | VAN NUYS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91406-4416 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-383-4108 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 17337 HARTLAND ST |
Practice Address - Street 2: | |
Practice Address - City: | VAN NUYS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91406-4416 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-383-4108 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-04-17 |
Last Update Date: | 2020-04-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251C2600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Cardiopulmonary | Group - Multi-Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | Group - Multi-Specialty |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |