Organization · NPI-2
100 Chiropractic Lj Livingood Apc
Chiropractor · San Diego, CA
NPI number1386336048
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1386336048
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Chiropractic Lj Livingood Apc
- Organization subpart
- No
- Enumeration date
- May 22, 2023
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
8935 Towne Centre Dr Ste 105San Diego, CA 92122-5610
Phone 719-244-5142
Mailing address
8935 Towne Centre Dr Ste 105San Diego, CA 92122-5610
Authorized official
Brandon Livingood
Owner
7192445142
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