Organization
BMV INVESTMENT LLC
Active
Organization
BMV INVESTMENT LLC
Active
Other names
MB Laser Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS VU (OFFICE MANAGER)
(714) 369-2670
Entity
Organization
Contact information
Practice address
10130 WARNER AVENUE UNIT C, FOUNTAIN VALLEY, CA 92708
(714) 369-2670
Mailing address
10130 WARNER AVENUE UNIT C, FOUNTAIN VALLEY, CA 92708
(714) 369-2670
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC6261
CA
208100000X
Physical Medicine & Rehabilitation Physician
AC6261
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AC 6280
CA
2083P0901X
Public Health & General Preventive Medicine Physician
AC6261
CA
208D00000X
General Practice Physician
A52253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0062610
MEDI-CAL
CA
Enumeration date
02/08/2008
Last updated
08/29/2018
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