LIVINGWATER'S MEDICAL CLINIC, INC. (NPI# 1992738991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992738991 |
| Entity Type | Organization |
| Organization Name | LIVINGWATER'S MEDICAL CLINIC, INC. |
| Practice Address |
24910 Las Brisas Rd Suite 111 Murrieta CA 92562-4010 |
| Practice Telephone | 9516948549 |
| Practice Fax Number | 9512208307 |
| Mailing Telephone | 9516948549 |
| Mailing Fax Number | 9512208307 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | MR. JONATHAN YUJUNG YUN (PRESIDENT) |
| Authorized Official Telephone | 9516948549 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A8759 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX87590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073041851 | Livingwater's Medical Clinic, Inc. | Family Medicine | 255 N Gilbert St Ste C2, Hemet, CA 92543-4078 | 2017-05-24 |
| Street Address |
24910 LAS BRISAS RD SUITE 111 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275572349 | Jonathan Yujung Yun | Family Medicine | 24910 Las Brisas Rd, Suite 111, Murrieta, CA 92562-4010 | 2006-06-05 |
| 1003202102 | Jody Taylor | Massage Therapist | 24910 Las Brisas Rd, Murrieta, CA 92562-4010 | 2015-04-15 |
| 1710398672 | Grace Family Health Inc | Non-Pharmacy Dispensing Site | 24910 Las Brisas Rd, Suite 116, Murrieta, CA 92562-4010 | 2014-05-14 |
| 1770852568 | Michelle Carolynn Maxfield | Nurse Practitioner | 24910 Las Brisas Rd, Ste 121, Murrieta, CA 92562 | 2011-12-22 |
| 1083996516 | Dr Lily Phillips Md Medical Group | Clinic/Center | 24910 Las Brisas Rd, Suite 106, Murrieta, CA 92562-4010 | 2011-09-11 |
| 1548548985 | Grace Family Health, Inc. | Non-Pharmacy Dispensing Site | 24910 Las Brisas Rd, 106, Murrieta, CA 92562-4010 | 2011-08-03 |
| 1033426028 | Grace Family Health, Inc. | Clinic/Center | 24910 Las Brisas Rd, Suite 105, Murrieta, CA 92562-4010 | 2010-09-12 |
| 1104149038 | Maria V Santos, Dmd, Inc | Dentist | 24910 Las Brisas Rd, Suite 104, Murrieta, CA 92562-4010 | 2010-03-06 |
| 1851613939 | Dr Sindu Pillai Md Inc | Specialist | 24910 Las Brisas Rd, Suite 114, Murrieta, CA 92562-4010 | 2010-02-17 |
| 1972779189 | Martina Chiodi | Obstetrics & Gynecology | 24910 Las Brisas Rd, Suite 108, Murrieta, CA 92562-4010 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1477960276 | Becker Pediatric Medical Corp. | Clinic/Center | 24679 Monroe Ave, Suite D102-103, Murrieta, CA 92562 | 2014-07-14 |
| 1508110503 | Kelly L Mckerahan D O A Professional Medical Corporation | Clinic/Center | 25095 Jefferson Ave Ste 202, Murrieta, CA 92562-9107 | 2012-10-30 |
| 1902113186 | Jason A. Black M.d., Inc. | Clinic/Center | 40700 California Oaks Rd, Suite 207, Murrieta, CA 92562-5789 | 2010-09-09 |
| 1457442121 | Laura Williams Md | Clinic/Center | 25102 Jefferson Ave, Suite A, Murrieta, CA 92562-1707 | 2006-09-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.