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Organization
LIVEWELLMD, INC
Active
Organization
LIVEWELLMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOO YANG MD (OWNER)
(951) 471-2500
Entity
Organization
Contact information
Practice address
27349 JEFFERSON AVE STE 209, TEMECULA, CA 92590-5612
(951) 471-2500
Mailing address
27349 JEFFERSON AVE STE 209, TEMECULA, CA 92590-5612
(951) 471-2500
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
12/05/2024
Last updated
01/30/2025
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