Livingwater'S Medical Clinic, Inc.

LBN: Livingwater'S Medical Clinic, Inc.
Livingwater'S Medical Clinic, Inc. is an health care organization with primary practice located at 24910 Las Brisas Rd Suite 111, Murrieta CA 92562-4010. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Livingwater'S Medical Clinic, Inc. can be contacted via phone (951) 694-8549, or through Yun, Jonathan Yujung via phone (951) 694-8549.

Contact Information

Primary practice address
24910 Las Brisas Rd Suite 111 Murrieta CA 92562-4010
Fax: (951) 220-8307
Website:
Authorized official contact:
Name: Yun, Jonathan Yujung Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 20A8759 California

Profile Details

NPI number 1992738991
LBN Legal business name Livingwater'S Medical Clinic, Inc.
DBA Doing business as
Authorized official Yun, Jonathan Yujung Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 30th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992738991 NPPES
California MEDICAID 00AX87590

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