Provider Demographics
NPI:1891975702
Name:BUI, PHONG FRANCOIS (MD)
Entity type:Individual
Prefix:DR
First Name:PHONG
Middle Name:FRANCOIS
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PHONG FRANCOIS
Other - Middle Name:
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10161 BOLSA AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-837-0313
Mailing Address - Fax:714-644-9993
Practice Address - Street 1:7561 CENTER AVE STE 32
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3037
Practice Address - Country:US
Practice Address - Phone:714-839-8712
Practice Address - Fax:714-664-9993
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106596208200000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery