Healthcare Provider Details

I. General information

NPI: 1922412931
Provider Name (Legal Business Name): QUE BUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 E CARSON ST
LONG BEACH CA
90807-3044
US

IV. Provider business mailing address

2250 E CARSON ST
LONG BEACH CA
90807-3044
US

V. Phone/Fax

Practice location:
  • Phone: 562-490-0201
  • Fax: 562-492-9884
Mailing address:
  • Phone: 562-490-0201
  • Fax: 562-492-9884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number48295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: