Provider Demographics
NPI:1649526518
Name:HANH M. BUI, MD, APMC
Entity type:Organization
Organization Name:HANH M. BUI, MD, APMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HANH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-630-2550
Mailing Address - Street 1:PO BOX 911070
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92191-1070
Mailing Address - Country:US
Mailing Address - Phone:760-230-2550
Mailing Address - Fax:760-630-2305
Practice Address - Street 1:906 SYCAMORE AVE STE 104
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7839
Practice Address - Country:US
Practice Address - Phone:760-630-2550
Practice Address - Fax:760-726-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79185207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABI487XMedicare PIN