Healthcare Provider Details

I. General information

NPI: 1972790863
Provider Name (Legal Business Name): HAO D. BUI, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 CENTENNIAL PLAZA WAY
BAKERSFIELD CA
93312
US

IV. Provider business mailing address

4901 CENTENNIAL PLAZA WAY
BAKERSFIELD CA
93312
US

V. Phone/Fax

Practice location:
  • Phone: 661-387-8333
  • Fax: 661-241-4052
Mailing address:
  • Phone: 661-387-8333
  • Fax: 661-241-4052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA74562
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA74562
License Number StateCA

VIII. Authorized Official

Name: DR. THUY THI-THANH NGUYEN
Title or Position: OFFICE MANAGER
Credential: M.D.
Phone: 661-387-8333