OrganizationActive
Br Lab and Radiology
NPI 1467844407 · Interventional Pain Medicine Physician · Hermosa Beach, CA
Provider details
- NPI number
- 1467844407
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bao Nguyen, Medical Director(424) 488-0500
- License
- A95636 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
555 Pier Ave
Ste #1
Hermosa Beach, CA 90254-3839
Phone: (424) 488-0500
Approximate (ZIP-level) locationGet directions
Mailing address
555 Pier Ave
Hermosa Beach, CA 90254-3839
Registry dates
- Enumerated
- 2015-02-27
- Last updated
- 2015-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.