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

Livingstone Community Development Corporation

Organization Family Medicine Physician · NPI 1881210318

Livingstone Community Development Corporation is a Family Medicine Physician in Fullerton, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

111 W Bastanchury Rd Unit 1A
Fullerton, CA 92835-2527
Phone: (714) 248-9500
Fax: (714) 622-4943
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1881210318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyung Park — Ceo · (714) 248-9500
Other names Livingstone Community Health Clinic
NPI enumeratedJune 20, 2020
Last updated in NPPESJune 20, 2020
Certification dateJune 20, 2020
Mailing address111 W Bastanchury Rd, Unit 1a, Fullerton, CA 92835-2527

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