Healthcare Provider Details

I. General information

NPI: 1316416050
Provider Name (Legal Business Name): JOSEPH HIEN BUI, O.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2018
Last Update Date: 12/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7596 EDINGER AVE
HUNTINGTON BEACH CA
92647-3570
US

IV. Provider business mailing address

7596 EDINGER AVE
HUNTINGTON BEACH CA
92647-3570
US

V. Phone/Fax

Practice location:
  • Phone: 657-329-2729
  • Fax: 714-375-6550
Mailing address:
  • Phone: 657-329-2729
  • Fax: 714-375-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH HIEN TRUNG BUI
Title or Position: CEO
Credential: OD
Phone: 714-837-4795