Healthcare Provider Details
I. General information
NPI: 1285977942
Provider Name (Legal Business Name): PAIN CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2013
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7862 KINGLAND DR STE 201
WEST CHESTER OH
45069-2573
US
IV. Provider business mailing address
7862 KINGLAND DR STE 201
WEST CHESTER OH
45069-2573
US
V. Phone/Fax
- Phone: 513-755-7888
- Fax: 513-572-3014
- Phone: 513-755-7888
- Fax: 513-572-3014
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 35-078406 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP3300X |
| Taxonomy | Pain Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HUNGCHIH
LEE
Title or Position: MANAGER
Credential: MD
Phone: 513-755-7888