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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