# PAINMEDGROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225336639
- **Authorized official:** JACK DRUET M.D. (CEO)
- **Authorized official phone:** (951) 506-9536

## Contact information

- **Practice address:** 25495 MEDICAL CENTER DR, SUITE 102, MURRIETA, CA 92562-4902
- **Practice address phone:** (951) 506-9536
- **Practice address fax:** (951) 693-4631
- **Mailing address:** PO BOX 893520, TEMECULA, CA 92589-3520
- **Mailing address phone:** (951) 506-9536
- **Mailing address fax:** (951) 693-4631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011