OrganizationActive
Better Life Pain Clinic, PLLC
NPI 1306109590 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fairfax, VA
Provider details
- NPI number
- 1306109590
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Su Min Ko, Owner
- License
- 0101250991 (VA)
Practice location
11166 Fairfax Blvd
Suite 105
Fairfax, VA 22030-5017
Phone: (703) 277-3360
Fax: (703) 277-3370
Mailing address
11166 Fairfax Blvd
Fairfax, VA 22030-5017
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2017-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.