Healthcare Provider Details

I. General information

NPI: 1295041408
Provider Name (Legal Business Name): QUANG VINH BUI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 12/19/2021
Certification Date: 12/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S MAIN ST
WALNUT CREEK CA
94596-5318
US

IV. Provider business mailing address

1451 CREEKSIDE DR APT 1100
WALNUT CREEK CA
94596-5648
US

V. Phone/Fax

Practice location:
  • Phone: 925-295-4655
  • Fax:
Mailing address:
  • Phone: 714-767-9644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: