Individual
EDWARD HARRY LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 15TH ST STE 102, SANTA MONICA, CA 90404-1810
(310) 319-4080
(310) 394-5215
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G59396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157586201
—
TX
Enumeration date
04/17/2006
Last updated
12/27/2019
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