DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIVINGWATER'S MEDICAL CLINIC, INC.

MEDICARE: LIVINGWATER'S MEDICAL CLINIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A8759CA

General Provider Information

NPI Number : 1073041851
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVINGWATER'S MEDICAL CLINIC, INC.
Provider Business Mailing Address
First Line : 24910 LAS BRISAS RD STE 111
Second Line :
City : MURRIETA
State : CA
Zip : 92562-4010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 N GILBERT ST STE C2
Second Line :
City : HEMET
State : CA
Zip : 92543-4078
Country : US
Telephone Number : 951-694-8549
Fax Number :
Authorized Official
Title or Position : BILLER
Name : TRACY KUVEKE
Credential :
Telephone Number : 951-694-8549
Provider Enumeration Date : 05/24/2017
Last Update Date : 05/24/2017

Similar Medicare Providers

1558861997 — CYNTHIA T HERNANDEZ NP
Practice Location Address:
255 N GILBERT ST BLDG B4
HEMET, CA
92543-4078
Practice Phone: 951-652-0060
Practice Fax: 714-276-2604
1821157462 — ABID HUSSAIN MD
Practice Location Address:
255 N GILBERT ST BLDG B4
HEMET, CA
92543-4078
Practice Phone: 951-652-0060
Practice Fax: 888-379-5652
1689885931 — MRS. CLORINDA N T SHORES PA
Practice Location Address:
255 N GILBERT ST BLDG B4
HEMET, CA
92543-4078
Practice Phone: 951-652-0060
Practice Fax:
1346506037 — ABID HUSSAIN MD PC
Practice Location Address:
255 N GILBERT ST BLDG B4
HEMET, CA
92543-4078
Practice Phone: 951-652-0060
Practice Fax: 951-929-3601
1457602146 — JAMAL DENTAL CORPORATION
Practice Location Address:
255 N GILBERT ST STE C1
HEMET, CA
92543-4078
Practice Phone: 951-766-7990
Practice Fax:
1003304593 — MARVI HUSSAIN MD
Practice Location Address:
255 N GILBERT ST BLDG B4
HEMET, CA
92543-4078
Practice Phone: 951-652-0060
Practice Fax:

Directions to “LIVINGWATER'S MEDICAL CLINIC, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.