Individual ProviderBao-Chau Thi NguyenMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828(714) 576-6396PECOS EnrollmentBased on the most recent information from CMS, provider Bao-Chau Thi 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 yesterday at 9:43 AM.Profile DetailsProvider ID1578811600Provider TypeIndividualFull NameNguyen, Bao-Chau ThiCredentialMSGenderFemaleSole ProprietorYesEnumeration Date8/21/2012Last Updated2/2/2021Contact InformationPractice LocationPractice Address5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828Phone(714) 576-6396FaxUnlisted FaxMailing LocationMailing Address5212 Katella Ave Ste 103b, Los Alamitos, CA 90720-6828Phone(714) 576-6396FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense92692California