Provider Demographics
NPI:1376858829
Name:BUI, CHRISTOPHER TRI (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TRI
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:960 E GREEN ST STE L-07
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2425
Mailing Address - Country:US
Mailing Address - Phone:626-244-7786
Mailing Address - Fax:
Practice Address - Street 1:960 E GREEN ST STE L-07
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2425
Practice Address - Country:US
Practice Address - Phone:626-244-7786
Practice Address - Fax:317-647-4371
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119877208100000X, 2081H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation