Pacific Pain & Wellness Group

LBN: Revivex Healthcare Inc
Pacific Pain & Wellness Group is an health care organization with primary practice located at 23150 Crenshaw Blvd Ste 100 , Torrance CA 90505-3025. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Revivex Healthcare Inc can be contacted via phone (310) 437-7399, or through Ananth, Kartik via phone (310) 437-7399.

Contact Information

Primary practice address
23150 Crenshaw Blvd Ste 100 Torrance CA 90505-3025
Fax: (888) 431-8819
Website:
Authorized official contact:
Name: Ananth, Kartik

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X A109016

Profile Details

NPI number 1083087613
LBN Legal business name Revivex Healthcare Inc
DBA Doing business as Pacific Pain & Wellness Group
Authorized official Ananth, Kartik
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2015
Last updated Mar 22nd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083087613 NPPES
Other 2155100 PK

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