# NUVATION PAIN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NUVATION PAIN GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346792462
- **Legal business name:** NUVATION PAIN GROUP
- **Authorized official:** PHILLIP LIM DO (CEO)
- **Authorized official phone:** (714) 676-5541

## Contact information

- **Practice address:** 5832 BEACH BLVD UNIT 209, BUENA PARK, CA 90621-5501
- **Practice address phone:** (714) 676-5541
- **Practice address fax:** (714) 676-5542
- **Mailing address:** 5832 BEACH BLVD UNIT 209, BUENA PARK, CA 90621-5501
- **Mailing address phone:** (714) 676-5541
- **Mailing address fax:** (714) 676-5542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 20A9128 | CA | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 08/29/2024