Provider Demographics
NPI:1427652288
Name:BUVAN CORP INC
Entity type:Organization
Organization Name:BUVAN CORP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAKAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-296-5595
Mailing Address - Street 1:130 MCCORMICK AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3316
Mailing Address - Country:US
Mailing Address - Phone:949-296-5595
Mailing Address - Fax:
Practice Address - Street 1:130 MCCORMICK AVE STE 104
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3316
Practice Address - Country:US
Practice Address - Phone:949-296-5595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment