Provider Demographics
NPI:1487816567
Name:BUI, THAI BINH (DC)
Entity Type:Individual
Prefix:
First Name:THAI
Middle Name:BINH
Last Name:BUI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 W BURBANK BLVD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1280
Mailing Address - Country:US
Mailing Address - Phone:818-846-1441
Mailing Address - Fax:
Practice Address - Street 1:2222 W BURBANK BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1280
Practice Address - Country:US
Practice Address - Phone:818-846-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor