Live Well Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

55273 Issued in CA

Legal business name

LIVE WELL MEDICAL SUPPLIES, INC.

Practice address

7338 Sycamore Canyon Blvd
Suite 1
Riverside, CA 92508-2318

Phone

(951) 656-3700

Fax

(951) 697-5866

NPI assigned

Apr 12, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Kieth Sirko

Title

President/Ceo

Phone

(951) 656-3700

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1194082354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 SYCAMORE CANYON BLVD",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082318",
            "telephone_number": "951-656-3700",
            "fax_number": "951-697-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7338 SYCAMORE CANYON BLVD",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082318",
            "telephone_number": "951-656-3700",
            "fax_number": "951-697-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SIRKO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KIETH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "951-656-3700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "55273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE RETAILER",
            "identifier": "55273",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wei-Chuan Liu, M.D.
• Winson Liu, M.D.
• Xia L Liu, DDS
• Zixuan Liu, DDS
• Live Well Medical Supplies, Inc
• Living Smart, LLC
• Wesley Livingston, DO
• Michelle Lizalde
• Karina Lizarraga
• Andrea Llamas

• Durable Medical Equipment & Medical Supplies in Riverside, CA
• Providers in Riverside, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.