Provider Demographics
NPI:1649493750
Name:BUI, HAO DAI
Entity type:Individual
Prefix:DR
First Name:HAO
Middle Name:DAI
Last Name:BUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 CENTENNIAL PLAZA WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2011
Mailing Address - Country:US
Mailing Address - Phone:661-387-8333
Mailing Address - Fax:661-241-4052
Practice Address - Street 1:4901 CENTENNIAL PLAZA WAY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2011
Practice Address - Country:US
Practice Address - Phone:661-387-8333
Practice Address - Fax:661-241-4052
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74562174400000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA74562OtherSTAE LICENSE NUMBER
CA1649493750OtherINDIVIDUAL NPI
CA1972790863OtherGROUP NPI
CABB7398135OtherDEA
CAA74562OtherSTAE LICENSE NUMBER