Provider Demographics
NPI:1811061468
Name:BUI, CHRISTOPHER DUONG (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DUONG
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DUONG
Other - Middle Name:XUAN
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:202 N. EUCLID
Mailing Address - Street 2:201
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-3090
Mailing Address - Country:US
Mailing Address - Phone:714-531-3535
Mailing Address - Fax:714-531-5950
Practice Address - Street 1:202 N. EUCLID
Practice Address - Street 2:201
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-3090
Practice Address - Country:US
Practice Address - Phone:714-531-3535
Practice Address - Fax:714-531-5950
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49625207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1568738219OtherNPI
59153Medicare UPIN