# MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MFA LIVINGSTON
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841603107
- **Authorized official:** REBECCA SHAW (CEO)
- **Authorized official phone:** (209) 723-1920

## Contact information

- **Practice address:** 746 MAIN ST, LIVINGSTON, CA 95334-1308
- **Practice address phone:** (209) 398-2145
- **Mailing address:** PO BOX 3768, MERCED, CA 95344-3768
- **Mailing address phone:** (209) 725-7149
- **Mailing address fax:** (209) 726-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2014
- **Last updated:** 10/01/2014