Livingston, Edward Harry

Livingston, Edward Harry is an individual health care provider with primary practice located at 1304 15Th St Ste 102 , Santa Monica CA 90404-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Livingston, Edward Harry can be contacted via phone (310) 319-4080.

Contact Information

Primary practice address
1304 15Th St Ste 102 Santa Monica CA 90404-1810
Phone: (310) 319-4080
Fax: (310) 394-5215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G59396 California

Profile Details

NPI number 1114981990
LBN Legal business name Livingston, Edward Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114981990 NPPES
Texas MEDICAID 157586201

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