Provider Demographics
NPI:1083751861
Name:BUI, DUNG V (DPM)
Entity Type:Individual
Prefix:DR
First Name:DUNG
Middle Name:V
Last Name:BUI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25825 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3518
Mailing Address - Country:US
Mailing Address - Phone:310-517-2940
Mailing Address - Fax:310-257-5291
Practice Address - Street 1:25825 VERMONT AVE
Practice Address - Street 2:DEPT. ORTHOPEDICS/PODIATRY
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3518
Practice Address - Country:US
Practice Address - Phone:310-517-2870
Practice Address - Fax:310-517-4207
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAEL 1619213ES0103X
CAE4737213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery