# PAIN CARE INNOVATION LLC

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

## Provider details

- **NPI number:** 1922526755
- **Authorized official:** WILLIAM BAUMGARTL MD (OWNER)
- **Authorized official phone:** (510) 593-6195

## Contact information

- **Practice address:** 222 KAREN AVE UNIT 3305, LAS VEGAS, NV 89109-5308
- **Practice address phone:** (510) 593-6195
- **Mailing address:** 1541 WINDHAVEN CIR, LAS VEGAS, NV 89117-1532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 13914 | NV | Yes |

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 09/05/2017
