# BRENT R. LIVINGSTON, M.D., INC.

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

## Provider details

- **NPI number:** 1982995635
- **Authorized official:** MR. BRENT R. LIVINGSTON M.D. (PRESIDENT)
- **Authorized official phone:** (619) 540-4180

## Contact information

- **Practice address:** 3003 HEALTH CENTER DR, SAN DIEGO, CA 92123-2700
- **Practice address phone:** (858) 939-3400
- **Mailing address:** PO BOX 8403, RANCHO SANTA FE, CA 92067-8403
- **Mailing address phone:** (619) 540-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G24378 | CA | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 01/04/2012
