Organization
BRENT R. LIVINGSTON, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT R. LIVINGSTON M.D. (PRESIDENT)
(619) 540-4180
Entity
Organization
Contact information
Practice address
3003 HEALTH CENTER DR, SAN DIEGO, CA 92123-2700
(858) 939-3400
Mailing address
PO BOX 8403, RANCHO SANTA FE, CA 92067-8403
(619) 540-4180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G24378
CA
Other
Enumeration date
04/28/2011
Last updated
01/04/2012
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