Antiem Bui (NPI# 1336569300, PAC ID# 7911206099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1336569300 |
| PAC ID by PECOS | 7911206099 |
| Professional Enrollment ID | I20190920001759 |
| Full Name | Antiem Bui |
| Organization Legal Name | SOUTHLAND RENAL MEDICAL GROUP, INC |
| Address |
3300 E S St Suite 308 Lakewood CA 90805-4598 |
| Phone Number | 5626303111 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2014 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3476580838 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050581 | LAKEWOOD REGIONAL MEDICAL CENTER |
| 050393 | PIH HOSPITAL - DOWNEY |
| 050551 | LOS ALAMITOS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3300 E S St, Suite 308, Lakewood, CA 90805-4598 | 5626303111 | SOUTHLAND RENAL MEDICAL GROUP, INC |
| Organization Legal Name | SOUTHLAND RENAL MEDICAL GROUP, INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Fischman | Nephrology | Southland Renal Medical Group, Inc | 11480 Brookshire Ave, Suite 110, Downey, CA 90241-5021 |
| Melissa Sarah Hawks | Physician Assistant | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Michael Alan Fischman | Nephrology | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Avedik H Semerjian | Nephrology | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Bikram Singh Sekhon | Nephrology | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Eric P Reyes | Nurse Practitioner | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Street Address |
3300 E S ST SUITE 308 |
| City | LAKEWOOD |
| State | CA |
| Zip | 90805-4598 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Arthur Rosenberg | Podiatry | 3300 E S St, Suite 306, Lakewood, CA 90805-4595 | |
| Leslie A Lin | Anesthesiology | 3300 E S St, Lakewood, CA 90805-4549 | |
| Mohsen Tabrizi | Endocrinology | Steven L Eng Md Inc | 3300 E S St, Suite 103, Lakewood, CA 90805-4582 |
| Gnyandev Patel | Internal Medicine | 3300 E S St, Suite 206, Lakewood, CA 90805-4590 | |
| Jesse J Licuanan | Internal Medicine | Prohealth Partners, A Medical Group | 3300 E S St, Suite 205, Long Beach, CA 90805-4587 |
| Shamila Senanayake | Nephrology | Moti S Daswani Md Inc | 3300 E S St, Suite 110, Long Beach, CA 90805 |
| Melissa Sarah Hawks | Physician Assistant | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Adarsh Daswani | Nephrology | Moti S Daswani Md Inc | 3300 E S St, Suite 110, Long Beach, CA 90805 |
| Willie Henry Goffney Jr. | Surgical Oncology | 3300 E S St, Suite 201, Long Beach, CA 90805-4588 | |
| Michael Alan Fischman | Nephrology | Southland Renal Medical Group, Inc | 3300 E S St, Suite 308, Lakewood, CA 90805-4598 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon E Lis | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Jose S Tandoc | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Glenda L Romero Urquhart | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Tae Y Lee | Nephrology | Moti S Daswani Md Inc | 3300 E S St, Suite 110, Long Beach, CA 90805 |
| Binh To Tran | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 3715 E S St, Lakewood Open Mri, Long Beach, CA 90805 |
| Alice W Murphy | Physical Therapy | California Aquatic Therapy and Wellness Center Inc | 6801 Long Beach Blvd, Long Beach, CA 90805-1133 |
| John A Roohan | Family Practice | Joseph M Molina Md Professional Corporation-southern California | 540 E Artesia Blvd, Long Beach, CA 90805-1476 |
| Sulabha A Dave | Radiation Oncology | 2440 E S St, Long Beach, CA 90805-4426 | |
| Thu T Koeler | Optometry | 3705 E S St, Long Beach, CA 90805-4521 | |
| Alfred M Yamamoto | Pathology | Affiliated Pathologists Medical Group, Inc. | 3700 E S St, Lakewood, CA 90805-4521 |
| Find all physicians in zip 90805 | |||
| City | LAKEWOOD |
| Zip Code | 90805 |
| Specialty | NEPHROLOGY |
| City + Specialty | LAKEWOOD + NEPHROLOGY |
Please comment or provide details below to improve the information on Antiem Bui.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.