BR LAB AND RADIOLOGY (NPI# 1467844407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467844407 |
| Entity Type | Organization |
| Organization Name | BR LAB AND RADIOLOGY |
| Practice Address |
555 Pier Ave Ste #1 Hermosa Beach CA 90254-3839 |
| Practice Telephone | 4244880500 |
| Mailing Telephone | 4244880500 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |
| Authorized Official Name | DR. BAO THAI NGUYEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4244880500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A95636 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
555 PIER AVE STE #1 |
| City | HERMOSA BEACH |
| State | CA |
| Zip Code | 90254-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982638839 | Noel Lee Chun | Anesthesiology | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2006-07-10 |
| 1164070736 | Dana Connolly | Nurse Practitioner | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2019-08-27 |
| 1437678026 | Karina Ray Ritter | Nurse Practitioner | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2017-09-14 |
| 1023569555 | Kimberly Dawn Keim | Nurse Practitioner | 555 Pier Ave, Suite E, Hermosa Beach, CA 90254-3839 | 2016-10-19 |
| 1922435411 | University Spine & Pain Center | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2013-09-30 |
| 1295162808 | University Spine and Pain Center Inc | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2013-09-27 |
| 1609209899 | Hermosa Beach Surgery Center, LLC | Clinic/Center | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2013-08-12 |
| 1922286855 | Kiowa Enterprises, LLC | Clinic/Center | 555 Pier Ave, Suite 1-a, Hermosa Beach, CA 90254-3839 | 2008-02-01 |
| 1194913756 | Bao Thai Nguyen | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite #1, Hermosa Beach, CA 90254-3839 | 2007-10-09 |
| 1255536413 | Shannon Johnson Wheat | Anesthesiology | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
| 1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
| 1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
| 1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
| 1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
| 1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
| Find all providers in zip 90254 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
| City | HERMOSA BEACH |
| Zip Code | 90254 |
Please comment or provide details below to improve the information on BR LAB AND RADIOLOGY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.