Provider Demographics
NPI:1205044047
Name:BUI, NGOC YOUNG (DPT)
Entity Type:Individual
Prefix:MS
First Name:NGOC
Middle Name:YOUNG
Last Name:BUI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 PACIFIC COAST HWY
Mailing Address - Street 2:STE# 218
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-2757
Mailing Address - Country:US
Mailing Address - Phone:310-397-8600
Mailing Address - Fax:310-397-9769
Practice Address - Street 1:2200 PACIFIC COAST HWY
Practice Address - Street 2:STE# 218
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2757
Practice Address - Country:US
Practice Address - Phone:310-397-8600
Practice Address - Fax:310-397-9769
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29554225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist