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Organization
BRMP PROFESSIONAL MEDICAL CORPORATION
Active
Organization
BRMP PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Advance Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO-THU NGUYEN M.D. (PHYSICIAN)
(714) 808-9358
Entity
Organization
Contact information
Practice address
1314 S EUCLID ST, SUITE 103, ANAHEIM, CA 92802-2079
(714) 808-9358
(714) 808-9359
Mailing address
PO BOX 9500, ANAHEIM, CA 92812-7500
(714) 808-9358
(714) 808-9359
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20498
MEDICARE PTAN
—
Enumeration date
09/27/2006
Last updated
10/13/2010
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