Provider Demographics
NPI:1689320780
Name:BUI, JOSHUA (DNP, PMHNP-BC, BSN,)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:BUI
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC, BSN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 ARCHWAY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-8827
Mailing Address - Country:US
Mailing Address - Phone:951-271-6754
Mailing Address - Fax:
Practice Address - Street 1:3309 ARCHWAY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-8827
Practice Address - Country:US
Practice Address - Phone:951-271-6754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95174879163WP0808X
CA95027149363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health