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NPI Code Detail

MEDICARE: HEALTHY LIVING PRIMARY CARE, INC

MEDICARE: HEALTHY LIVING PRIMARY CARE, 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 Physician

General Provider Information

NPI Number : 1467996686
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY LIVING PRIMARY CARE, INC
Provider Business Mailing Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number : 916-983-8868
Fax Number : 916-983-8891
Provider Business Practice Location Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number : 916-983-8868
Fax Number : 916-983-8891
Authorized Official
Title or Position : MD
Name : JOY LIU
Credential : MD
Telephone Number : 916-983-8868
Provider Enumeration Date : 12/07/2016
Last Update Date : 12/07/2016

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Directions to “HEALTHY LIVING PRIMARY CARE, INC ” Practice Location

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