MEDICARE: TUANTU ANH BUI D.C.

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
1	111N00000X	Chiropractor	DC26352	CA

General Provider Information

NPI Number	:	1346462652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUANTU ANH BUI D.C.

Provider Business Mailing Address
First Line	:	2344 MCKEE RD STE 45
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1616
Country	:	US
Telephone Number	:	408-258-0357
Fax Number	:

Provider Business Practice Location Address
First Line	:	2344 MCKEE RD STE 45
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1616
Country	:	US
Telephone Number	:	408-258-0357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	03/20/2008

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