| Livingwater's Medical Clinic, Inc. | |
|
24910 Las Brisas Rd Suite 111 Murrieta CA 92562-4010 | |
| (951) 694-8549 | |
| (951) 220-8307 |
| Full Name | Livingwater's Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 24910 Las Brisas Rd, Murrieta, California |
| Authorized Official Name and Position | Jonathan Yujung Yun (PRESIDENT) |
| Authorized Official Contact | 9516948549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingwater's Medical Clinic, Inc. 24910 Las Brisas Rd Suite 111 Murrieta CA 92562-4010 Ph: (951) 694-8549 | Livingwater's Medical Clinic, Inc. 24910 Las Brisas Rd Suite 111 Murrieta CA 92562-4010 Ph: (951) 694-8549 |
| NPI Number | 1992738991 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 11/30/2010 |
| Medicare PECOS PAC ID | 6204849102 |
|---|---|
| Medicare Enrollment ID | O20060718000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992738991 | NPI | - | NPPES |
| 00AX87590 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20A8759 (California) | Primary |
| Provider Name | Jonathan Yujung Yun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275572349 PECOS PAC ID: 1456342625 Enrollment ID: I20040518001452 |
| Provider Name | Sanjiwani Meharda |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104108109 PECOS PAC ID: 5193955268 Enrollment ID: I20170612000460 |
| Provider Name | Aws Al Jandeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629566526 PECOS PAC ID: 4587904669 Enrollment ID: I20210827001810 |
Rhoda Estrella-itchon, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25495 Medical Center Dr, Suite 301, Murrieta, CA 92562 Phone: 951-461-1070 | |
Murrieta Express Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24910 Las Brisas Rd, Suite 105, Murrieta, CA 92562 Phone: 951-231-1385 Fax: 951-461-9191 | |
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