Provider Demographics
NPI:1215107073
Name:VU-BUI, CALIX LUCIA
Entity type:Individual
Prefix:
First Name:CALIX
Middle Name:LUCIA
Last Name:VU-BUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CALIX
Other - Middle Name:LUCIA
Other - Last Name:VU-BUI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:268 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610
Mailing Address - Country:US
Mailing Address - Phone:510-835-2777
Mailing Address - Fax:
Practice Address - Street 1:268 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610
Practice Address - Country:US
Practice Address - Phone:510-835-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-08
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health