| Organization Name: | LIVE WELL MEDICAL CENTER INC. |
| NPI Number: | 1285975060 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL P BASS (OWNER) |
| Mailing Address: | 515 Michigan Blvd West Sacramento |
| State: | CA US |
| Postal Code: | 956912705 |
| Phone Number: | 9163680816 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C32503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |