Organization
ORTHOLIVE MEDICAL GROUP - CA PC
Active
Organization
ORTHOLIVE MEDICAL GROUP - CA PC
Active
Other names
HealthcareLive Medical Group - CA PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G DIMARE (COO)
(561) 758-7641
Entity
Organization
Contact information
Practice address
166 GEARY ST, SAN FRANCISCO, CA 94108-5631
(866) 456-7846
(513) 306-4004
Mailing address
1311 VINE ST, CINCINNATI, OH 45202-7118
(866) 456-7846
(513) 306-4004
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841756632
NPI NUMBER
OH
Enumeration date
06/11/2025
Last updated
06/11/2025
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