Provider Demographics
NPI:1225219702
Name:BUI, TRUNG D (MD)
Entity Type:Individual
Prefix:
First Name:TRUNG
Middle Name:D
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2220 LYNN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1904
Mailing Address - Country:US
Mailing Address - Phone:805-496-9727
Mailing Address - Fax:805-496-9148
Practice Address - Street 1:2220 LYNN RD
Practice Address - Street 2:102
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1904
Practice Address - Country:US
Practice Address - Phone:805-496-9727
Practice Address - Fax:805-496-9148
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2022-07-07
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Provider Licenses
StateLicense IDTaxonomies
CAA85488208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery