# UNIVERSITY SPINE & PAIN CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922435411
- **Authorized official:** DR. BAO NGUYEN M.D. (CEO)
- **Authorized official phone:** (714) 254-5751

## Contact information

- **Practice address:** 555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
- **Practice address phone:** (424) 488-0500
- **Practice address fax:** (424) 488-0498
- **Mailing address:** 555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
- **Mailing address phone:** (424) 488-0500
- **Mailing address fax:** (424) 488-0498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A95636 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 06/30/2014