# BRMP PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advance Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770674368
- **Authorized official:** DR. BAO-THU NGUYEN M.D. (PHYSICIAN)
- **Authorized official phone:** (714) 808-9358

## Contact information

- **Practice address:** 1314 S EUCLID ST, SUITE 103, ANAHEIM, CA 92802-2079
- **Practice address phone:** (714) 808-9358
- **Practice address fax:** (714) 808-9359
- **Mailing address:** PO BOX 9500, ANAHEIM, CA 92812-7500
- **Mailing address phone:** (714) 808-9358
- **Mailing address fax:** (714) 808-9359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 10/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W20498 | MEDICARE PTAN | — |