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Organization
LIVE WELL MEDICAL CENTER INC.
Active
Organization
LIVE WELL MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P BASS M.D. (OWNER)
(916) 368-0816
Entity
Organization
Contact information
Practice address
515 MICHIGAN BLVD, WEST SACRAMENTO, CA 95691-2705
(916) 368-0816
Mailing address
515 MICHIGAN BLVD, WEST SACRAMENTO, CA 95691-2705
(916) 368-0816
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C32503
CA
Other
Enumeration date
03/05/2013
Last updated
03/17/2018
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