Live Well Medical Supplies, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1230445 Issued in CA

Legal business name

LIVE WELL MEDICAL SUPPLIES, INC

Practice address

7338 Sycamore Canyon Blvd
Suite 1
Riverside, CA 92508-2334

Phone

(951) 656-3700

Fax

(951) 697-5866

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Brian Kieth Sirko

Title

President/Ceo

Phone

(951) 656-3700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1235527250",
    "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": "925082334",
            "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": "925082334",
            "telephone_number": "951-656-3700",
            "fax_number": "951-697-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "1230445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Liu
• 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

• Non-emergency Medical Transport (VAN) in Riverside, CA
• Providers in Riverside, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.