Individual
JOHN PETER LIVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 DEEP VALLEY DR STE 100, ROLLING HILLS ESTATES, CA 90274-7606
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
E-3119
AR
2085R0202X
Diagnostic Radiology Physician
Primary
G34484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145781001
—
AR
Enumeration date
09/27/2006
Last updated
07/05/2023
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