Bui, Mary Phuong
Bui, Mary Phuong is an individual health care provider with primary practice located at 1317 W Foothill Blvd Ste 148, Upland CA 91786-3676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bui, Mary Phuong can be contacted via phone (909) 981-5882.Contact Information
Primary practice address
1317 W Foothill Blvd Ste 148
Upland CA 91786-3676
Phone: (909) 981-5882
Fax: (909) 946-0833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 20A8116 | California |
Profile Details
| NPI number | 1841225224 |
|---|---|
| LBN Legal business name | Bui, Mary Phuong |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841225224 | NPPES |
| California | MEDICAID | 00AX81160 |
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