Provider Demographics
NPI:1366166852
Name:BUI, TAMMY TRAM QUYNH (LCSW)
Entity type:Individual
Prefix:MISS
First Name:TAMMY TRAM
Middle Name:QUYNH
Last Name:BUI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:TAMMY
Other - Middle Name:QUYNH
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 W SANTA ANA BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4134
Mailing Address - Country:US
Mailing Address - Phone:714-896-7469
Mailing Address - Fax:714-896-7459
Practice Address - Street 1:200 W SANTA ANA BLVD STE 400
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4134
Practice Address - Country:US
Practice Address - Phone:714-896-7469
Practice Address - Fax:714-896-7459
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1309261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCSW130926OtherORANGE COUNTY HEALTH CARE AGENCY