Organization
LIVING SPINAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW HIPPERT (PRESIDENT)
(920) 475-1966
Entity
Organization
Contact information
Practice address
7340 TRADE ST, STE F, SAN DIEGO, CA 92121-2457
(619) 810-0010
(619) 752-2005
Mailing address
7340 TRADE ST, STE F, SAN DIEGO, CA 92121-2457
(619) 810-0010
(619) 752-2005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4452540
—
CA
Enumeration date
08/08/2011
Last updated
03/28/2016
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