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ANTIEM BUI D.O.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1336569300

Individual Registrant:
 ANTIEM  BUI D.O.
Gender: M
Sole Proprietor

Location and contact information for practice:
3300 E SOUTH ST STE 308  LAKEWOOD, CA 90805-4598 US
Tel: 562-630-3111  Fax: --

Contact information for business:
667 EASTLAND AVE SE  WARREN, OH 44484-4503 US
Tel: 330-841-4000  Fax: --

Registration Information:
NPI: 1336569300
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
OH58.006051
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CA20A15461
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OSTEOPATHIC PHYSICIAN AND SURGEON20A15461CA01




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