| Live Well Medical Center Inc. | |
|
515 Michigan Blvd West Sacramento CA 95691-2705 | |
| (916) 368-0816 | |
| Not Available |
| Full Name | Live Well Medical Center Inc. |
|---|---|
| Speciality | General Practice |
| Location | 515 Michigan Blvd, West Sacramento, California |
| Authorized Official Name and Position | Michael P Bass (OWNER) |
| Authorized Official Contact | 9163680816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Medical Center Inc. 515 Michigan Blvd West Sacramento CA 95691-2705 Ph: (916) 368-0816 | Live Well Medical Center Inc. 515 Michigan Blvd West Sacramento CA 95691-2705 Ph: (916) 368-0816 |
| NPI Number | 1285975060 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285975060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C32503 (California) | Primary |
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West Sacramentopediatric Medical Group,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Jefferson Blvd, West Sacramento, CA 95691 Phone: 916-371-3787 Fax: 916-371-3790 | |
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