Dr Bao Thai Nguyen, MD | |
555 Pier Ave, Suite #1, Hermosa Beach, CA 90254-3839 | |
(424) 488-0500 | |
(424) 488-0498 |
Full Name | Dr Bao Thai Nguyen |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 21 Years |
Location | 555 Pier Ave, Hermosa Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194913756 | NPI | - | NPPES |
1194913756 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A95636 (California) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 252803-2 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Spine And Pain Center Inc | 6507096781 | 2 |
Entity Name | University Spine And Pain Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295162808 PECOS PAC ID: 6507096781 Enrollment ID: O20140310000675 |
Mailing Address | Practice Location Address |
---|---|
Dr Bao Thai Nguyen, MD 555 Pier Ave, Suite #1, Hermosa Beach, CA 90254-3839 Ph: (424) 488-0500 | Dr Bao Thai Nguyen, MD 555 Pier Ave, Suite #1, Hermosa Beach, CA 90254-3839 Ph: (424) 488-0500 |
Dominique Cherie Smith, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 565 Pier Ave Unit 1352, Hermosa Beach, CA 90254 Phone: 949-371-9773 | |
Matthew Ryan Robinson, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 555 Pier Ave Ste 1a, Hermosa Beach, CA 90254 Phone: 424-488-0500 | |
Dana A Kankolenski, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1601 Pacific Coast Hwy, Hermosa Beach, CA 90254 Phone: 310-698-0770 Fax: 310-698-0801 |