Active NPI
Livewellmd, Inc
- Non-Pharmacy Dispensing Site
- Temecula, CA
National Provider Identifier
1912713892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | |||
| Surgery Physician | 208600000X | |||
| General Practice Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2309238 | Livewellmd | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.