Organization
UNIVERSITY SPINE AND PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO NGUYEN MD (PRESIDENT)
(714) 254-5751
Entity
Organization
Contact information
Practice address
555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
(714) 254-5751
Mailing address
555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
(714) 254-5751
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A95636
CA
Other
Enumeration date
09/27/2013
Last updated
03/10/2014
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