Provider Demographics
NPI:1730247974
Name:BUI, JONATHAN D (MD PHD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:D
Last Name:BUI
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:3020 CHILDRENS WAY
Mailing Address - Street 2:MC5003
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-309-6300
Mailing Address - Fax:858-309-6301
Practice Address - Street 1:8010 FROST ST.
Practice Address - Street 2:STE 510
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4284
Practice Address - Country:US
Practice Address - Phone:858-966-5819
Practice Address - Fax:858-966-4930
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2013-11-12
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Provider Licenses
StateLicense IDTaxonomies
CAA965742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology