| Dr Bao Quang Nguyen Phuc, DC | |
|
536 El Camino Real, Redwood City, CA 94063-1212 | |
| (650) 995-7243 | |
| (650) 995-7595 |
| Full Name | Dr Bao Quang Nguyen Phuc |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 536 El Camino Real, Redwood City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437774049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 34789 (California) | Primary |
| Provider Name | Brass Chiropractic Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285366476 PECOS PAC ID: 9133596141 Enrollment ID: O20221103003313 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bao Quang Nguyen Phuc, DC 3363 Da Vinci Ct, San Jose, CA 95148-4318 Ph: (408) 421-0701 | Dr Bao Quang Nguyen Phuc, DC 536 El Camino Real, Redwood City, CA 94063-1212 Ph: (650) 995-7243 |
Dr. Jack Martin Bourla, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 499 Seaport Ct, Suite 101, Redwood City, CA 94063 Phone: 650-365-1473 Fax: 650-365-1474 | |
Jennifer Tave, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 505 Seaport Ct Ste 103, Redwood City, CA 94063 Phone: 650-542-0609 | |
William Charles Amalu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 621 Middlefield Rd, Suite A, Redwood City, CA 94063 Phone: 650-361-8908 Fax: 650-362-9333 | |
Birch Clinic Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 39b Birch St, Redwood City, CA 94062 Phone: 650-206-9539 | |
Ms. Diane Helen Hafner, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 363 B Main St, Sparc Med, Redwood City, CA 94063 Phone: 650-780-0575 Fax: 650-780-0587 | |
Paul R. Piccione, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 959 Woodside Rd, Redwood City, CA 94061 Phone: 650-367-1948 Fax: 650-367-9356 | |
Dr. Randolph Rhodes, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 650 El Camino Real, Redwood City, CA 94063 Phone: 650-369-4595 Fax: 650-369-3184 |