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NPI Code Detail

MEDICARE: ELIZABETH LOAN BUIBICH MD

MEDICARE:   ELIZABETH LOAN BUIBICH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA52634CA

General Provider Information

NPI Number : 1588876437
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH LOAN BUIBICH MD
Provider Business Mailing Address
First Line : 174 AMBLING DRIVE
Second Line :
City : BREA
State : CA
Zip : 92821
Country : US
Telephone Number : 714-539-8937
Fax Number :
Provider Business Practice Location Address
First Line : 5015 WEST EDINGER AVE., STES K-L
Second Line :
City : SANTA ANA
State : CA
Zip : 92704
Country : US
Telephone Number : 714-418-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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Directions to “ ELIZABETH LOAN BUIBICH MD” Practice Location

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