Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Livewell Medical Clinic Inc

Organization Pediatrics Physician · NPI 1770675886

Livewell Medical Clinic Inc is a Pediatrics Physician in San Bruno, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1150 El Camino Real #225
San Bruno, CA 94066
Phone: (650) 873-3338
Fax: (650) 873-3308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G78328 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A78723 (CA)

Record details

NPI number1770675886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Osmona — President Owner · (650) 873-3338
NPI enumeratedSeptember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5528 Pacheco Blvd, Ste A, Pacheco, CA 94553

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