Organization
UNIVERSITY SPINE & PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO NGUYEN M.D. (CEO)
(714) 254-5751
Entity
Organization
Contact information
Practice address
555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
(424) 488-0500
(424) 488-0498
Mailing address
555 PIER AVE, SUITE 1, HERMOSA BEACH, CA 90254-3839
(424) 488-0500
(424) 488-0498
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A95636
CA
Other
Enumeration date
09/30/2013
Last updated
06/30/2014
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