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NPI Code Detail

MEDICARE: BOBBI LIVINGSTON

MEDICARE:   BOBBI  LIVINGSTON
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
1372600000XAdult CompanionCA

General Provider Information

NPI Number : 1679179063
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBI LIVINGSTON
Provider Business Mailing Address
First Line : 520 COTTONWOOD ST STE 14
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3603
Country : US
Telephone Number : 530-750-6817
Fax Number :
Provider Business Practice Location Address
First Line : 520 COTTONWOOD ST STE 14
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3603
Country : US
Telephone Number : 530-750-6817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2020
Last Update Date : 02/04/2026

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Directions to “ BOBBI LIVINGSTON ” Practice Location

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