Organization
BR LAB AND RADIOLOGY
Active
Organization
BR LAB AND RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO THAI NGUYEN MD (MEDICAL DIRECTOR)
(424) 488-0500
Entity
Organization
Contact information
Practice address
555 PIER AVE, STE #1, HERMOSA BEACH, CA 90254-3839
(424) 488-0500
Mailing address
555 PIER AVE, STE #1, HERMOSA BEACH, CA 90254-3839
(424) 488-0500
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A95636
CA
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up