Provider Demographics
NPI:1871122630
Name:BUI, PHOEBE PHUONG-BOI (DO)
Entity type:Individual
Prefix:DR
First Name:PHOEBE
Middle Name:PHUONG-BOI
Last Name:BUI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8900 BOLSA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5475
Mailing Address - Country:US
Mailing Address - Phone:714-897-2623
Mailing Address - Fax:714-379-0343
Practice Address - Street 1:8900 BOLSA AVE STE B
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5475
Practice Address - Country:US
Practice Address - Phone:714-897-2623
Practice Address - Fax:714-379-0343
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A19387207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine