# LIVEWELLMD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912713892
- **Authorized official:** JOO YANG MD (OWNER)
- **Authorized official phone:** (951) 471-2500

## Contact information

- **Practice address:** 27349 JEFFERSON AVE STE 209, TEMECULA, CA 92590-5612
- **Practice address phone:** (951) 471-2500
- **Mailing address:** 27349 JEFFERSON AVE STE 209, TEMECULA, CA 92590-5612
- **Mailing address phone:** (951) 471-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2024
- **Last updated:** 01/30/2025