Provider Demographics
NPI:1285717397
Name:BUI, CAN QUOC (MD)
Entity type:Individual
Prefix:DR
First Name:CAN
Middle Name:QUOC
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4616 EL CAJAN BLVD
Mailing Address - Street 2:STE 7
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-4426
Mailing Address - Country:US
Mailing Address - Phone:619-563-0567
Mailing Address - Fax:619-563-0568
Practice Address - Street 1:4616 EL CAJAN BLVD
Practice Address - Street 2:STE 7
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4426
Practice Address - Country:US
Practice Address - Phone:619-563-0567
Practice Address - Fax:619-563-0568
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA39900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A399000Medicaid
CA00A399000Medicaid
CAA39900Medicare ID - Type Unspecified