Individual ProviderChau Bao NguyenAcupuncturistOther Service ProvidersPractice Address125 Mountain View Drive, Tustin, CA 92780(714) 573-9788PECOS EnrollmentBased on the most recent information from CMS, provider Chau Bao Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1164592002Provider TypeIndividualFull NameNguyen, Chau BaoTitleDr.CredentialLACGenderFemaleSole ProprietorYesEnumeration Date11/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address125 Mountain View Drive, Tustin, CA 92780Phone(714) 573-9788Fax(714) 573-9788Mailing LocationMailing Address125 Mountain View Drive, Tustin, CA 92780Phone(714) 573-9788Fax(714) 573-9788Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC5557CaliforniaProvider IdentifiersIDDescriptionIssuerIDAC5557DescriptionOtherIssuerLICENSE #California