Livingston, Wesley

Livingston, Wesley is an sole proprietor health care provider with primary practice located at 4445 Magnolia Ave , Riverside CA 92501-4135. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Livingston, Wesley can be contacted via phone (714) 676-3880.

Contact Information

Primary practice address
4445 Magnolia Ave Riverside CA 92501-4135
Fax: (909) 614-8582
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19084 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19084 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19084 California

Profile Details

NPI number 1871025551
LBN Legal business name Livingston, Wesley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2017
Last updated Nov 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871025551 NPPES
New York MEDICAID 390200000

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