Healthcare Provider Details

I. General information

NPI: 1649183559
Provider Name (Legal Business Name): NUVO MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 618
PASADENA CA
91101-2015
US

IV. Provider business mailing address

595 E COLORADO BLVD STE 618
PASADENA CA
91101-2015
US

V. Phone/Fax

Practice location:
  • Phone: 213-262-8290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAMIE EDUARDO GARCIA
Title or Position: CEO
Credential: MD
Phone: 213-904-1002