Provider Demographics
NPI:1215087093
Name:BUI, TRINH NGOC (MD)
Entity type:Individual
Prefix:DR
First Name:TRINH
Middle Name:NGOC
Last Name:BUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 VIA DEL CERRO
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-2644
Mailing Address - Country:US
Mailing Address - Phone:714-777-1710
Mailing Address - Fax:
Practice Address - Street 1:10402 WESTMINSTER AVE
Practice Address - Street 2:SUITE 100 C
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4861
Practice Address - Country:US
Practice Address - Phone:714-638-1358
Practice Address - Fax:714-741-0693
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33306208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics