Living Spinal LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIVING SPINAL LLC

Practice address

7340 Trade St
Ste F
San Diego, CA 92121-2457

Phone

(619) 810-0010

Fax

(619) 752-2005

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Hippert

Title

President

Phone

(920) 475-1966

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1336428424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 TRADE ST",
            "address_2": "STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212457",
            "telephone_number": "619-810-0010",
            "fax_number": "619-752-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 TRADE ST",
            "address_2": "STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212457",
            "telephone_number": "619-810-0010",
            "fax_number": "619-752-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPINAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "HIPPERT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-475-1966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4452540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Theresa Cherie Livingston

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, 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 Mar 28, 2016; 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.