Organization Active NPI

Livewellmd, Inc

  • Non-Pharmacy Dispensing Site
  • Temecula, CA
National Provider Identifier
1912713892
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
LIVEWELLMD, INC
Practice address
27349 Jefferson Ave Ste 209
Temecula, CA 92590-5612
Phone
(951) 471-2500
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Joo Yang, MD
Title
Owner
Phone
(951) 471-2500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

27349 Jefferson Ave Ste 209
Temecula, CA 92590-5612

Mailing address

27349 Jefferson Ave Ste 209
Temecula, CA 92590-5612
Phone (951) 471-2500

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2309238Livewellmd27349 Jefferson Ave Suite 209, Temecula, CA 92590Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

27349 Jefferson Ave
Ste 209
Temecula, CA 92590
Phone (951) 471-2500

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1912713892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 209",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905612",
            "telephone_number": "951-471-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 209",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905612",
            "telephone_number": "951-471-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELLMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-471-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.