Organization
LIVINGSTON COMMUNITY HEALTH SERVICES
Active
Other names
LIVINGSTON MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA GARCIA (CEO)
(209) 394-7075
Entity
Organization
Contact information
Practice address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7075
(209) 394-3660
Mailing address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7075
(209) 394-3660
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP03897F
EXPANDED ACCESS FOR PRIMA
CA
Enumeration date
02/11/2008
Last updated
02/11/2008
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