# MURRIETA VALLEY PAIN SPECIALISTS, INC

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

## Provider details

- **NPI number:** 1659955029
- **Authorized official:** DR. KARMIN P NISSAN MD (OWNER)
- **Authorized official phone:** (773) 715-1360

## Contact information

- **Practice address:** 25186 HANCOCK AVE STE 200, MURRIETA, CA 92562-5998
- **Practice address phone:** (773) 715-1360
- **Mailing address:** 25186 HANCOCK AVE STE 200, MURRIETA, CA 92562-5998

## Taxonomy

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

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 05/11/2021