Organization
NUVATION PAIN GROUP
Active
Parent organization
NUVATION PAIN GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
NUVATION PAIN GROUP
Authorized official
PHILLIP LIM DO (CEO)
(714) 676-5541
Entity
Organization
Contact information
Practice address
5832 BEACH BLVD UNIT 209, BUENA PARK, CA 90621-5501
(714) 676-5541
(714) 676-5542
Mailing address
5832 BEACH BLVD UNIT 209, BUENA PARK, CA 90621-5501
(714) 676-5541
(714) 676-5542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20A9128
CA
Other
Enumeration date
10/25/2016
Last updated
08/29/2024
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