Provider Demographics
NPI:1952573388
Name:BUI, YEN KIM (MDPHD)
Entity Type:Individual
Prefix:DR
First Name:YEN
Middle Name:KIM
Last Name:BUI
Suffix:
Gender:F
Credentials:MDPHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2505
Mailing Address - Country:US
Mailing Address - Phone:626-497-0431
Mailing Address - Fax:
Practice Address - Street 1:505 PARNASSUS AVE # 110
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-476-6245
Practice Address - Fax:415-476-4009
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102797208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics