Provider Demographics
NPI:1336945393
Name:BUI, DANIEL NGOC (DPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:NGOC
Last Name:BUI
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9562 WOODBURY AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-2814
Mailing Address - Country:US
Mailing Address - Phone:714-260-3003
Mailing Address - Fax:
Practice Address - Street 1:12131 BROOKHURST ST STE B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-2863
Practice Address - Country:US
Practice Address - Phone:714-684-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307706225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist