MEDICARE: KATHLEEN MINH KHANH BUI-NGUYEN PT, DPT

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	225100000X	Physical Therapist	305966	CA

General Provider Information

NPI Number	:	1841031911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MINH KHANH BUI-NGUYEN PT, DPT

Provider Business Mailing Address
First Line	:	17553 CLOVERDALE WAY
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-1949
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7172 EDINGER AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3505
Country	:	US
Telephone Number	:	714-902-9349
Fax Number	:

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

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	06/03/2024

Similar Medicare Providers

1497786644 — BRONSON W HAMADA O D A PROFESSIONAL CORP
Practice Location Address:

7192 EDINGER AVE
HUNTINGTON BEACH, CA
92647-3505

Practice Phone: 714-848-1400
Practice Fax: 714-843-2020

1447285028 — DR. BRONSON W. HAMADA O.D.
Practice Location Address:

7192 EDINGER AVE
HUNTINGTON BEACH, CA
92647-3505

Practice Phone: 714-848-1400
Practice Fax: 714-843-2020

1346399417 — DIANA XA D.D.S., INC.
Practice Location Address:

7154 EDINGER AVE
HUNTINGTON BEACH, CA
92647-3505

Practice Phone: 714-847-7800
Practice Fax: 714-847-4010

1164752473 — CHANGE SPORTS PHYSICAL THERAPY INSTITUTE
Practice Location Address:

7172 EDINGER AVE
HUNTINGTON BEACH, CA
92647-3505

Practice Phone: 714-902-9349
Practice Fax: 714-362-3147

1023093770 — DR. WILLIAM JOSEPH WONG M.D.
Practice Location Address:

207 LINCOLN AVE
HUNTINGTON BEACH, CA
92648-3505

Practice Phone: 434-284-3469
Practice Fax:

1629753918 — ATTENTIVE TEACHING. INC
Practice Location Address:

10 MYRTLE AVE
HUNTINGTON, NY
11743-3505

Practice Phone: 516-426-1459
Practice Fax:

Directions to “ KATHLEEN MINH KHANH BUI-NGUYEN PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.