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Organization
UNIVERSITY SPINE AND PAIN CENTER INC
Active
Organization
UNIVERSITY SPINE AND PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO NGUYEN MD (PRESIDENT)
(714) 254-5751
Entity
Organization
Contact information
Practice address
555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
(714) 254-5751
Mailing address
555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
(714) 254-5751
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A95636
CA
Other
Enumeration date
09/27/2013
Last updated
03/10/2014
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