Livewell Medical Clinic Inc
Pediatrics
Livewell Medical Clinic Inc is a San Bruno, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1150 El Camino Real, #225, San Bruno, California - 94066. They can be contacted on phone at
650-873-3338 and fax number 650-873-3308.
NPI number (Unique professional ID) for Livewell Medical Clinic Inc is
1770675886 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 22 Aug, 2020.
Livewell Medical Clinic Inc license number is
G78328 for Pediatrics (208000000X) in California.
Livewell Medical Clinic Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Livewell Medical Clinic Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Livewell Medical Clinic Inc |
|---|
Business Address:
Livewell Medical Clinic Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1150 El Camino Real, #225
San Bruno, CA, 94066
United States |
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| Phone Number : | 650-873-3338 |
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| Fax Number : | 650-873-3308 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770675886 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 28 Sep, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Marialuisa Osmona |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT OWNER |
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| Phone Number : | 650-873-3338 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Livewell Medical Clinic Inc are as mentioned. Primary taxonomy code for Livewell Medical Clinic Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A78723 | CA |
| 208000000X | Pediatrics | Yes | G78328 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Livewell Medical Clinic Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0101840 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5528 Pacheco Blvd, Ste A
Pacheco, CA, 94553
United States |
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| Phone Number : | 925-363-8170 |
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| Fax Number : | 925-363-4995 |
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Business Location:
Patients can refer following map for directions to
Livewell Medical Clinic Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.