| Loc Dac Bui M.d., A Professional Corporation | |
|
8900 Bolsa Ave Ste B Westminster CA 92683-5475 | |
| (714) 897-2623 | |
| (714) 379-0343 |
| Full Name | Loc Dac Bui M.d., A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 8900 Bolsa Ave Ste B, Westminster, California |
| Authorized Official Name and Position | Loc Dac Bui (PRESIDENT) |
| Authorized Official Contact | 7148972623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loc Dac Bui M.d., A Professional Corporation 8900 Bolsa Ave Suite B Westminster CA 92683-5474 Ph: (714) 897-2623 | Loc Dac Bui M.d., A Professional Corporation 8900 Bolsa Ave Ste B Westminster CA 92683-5475 Ph: (714) 897-2623 |
| NPI Number | 1245531649 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 05/15/2020 |
| Medicare PECOS PAC ID | 0042406506 |
|---|---|
| Medicare Enrollment ID | O20101123000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245531649 | NPI | - | NPPES |
| 00A501980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A50198 (California) | Primary |
| Provider Name | Loc Dac Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023081387 PECOS PAC ID: 3577759034 Enrollment ID: I20101123000285 |
| Provider Name | Phoebe Phuong-boi Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871122630 PECOS PAC ID: 4587017488 Enrollment ID: I20240126002986 |
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