Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Livewell Medical Clinic Inc

Organization Pediatrics Physician · NPI 1770675886

Livewell Medical Clinic Inc provides Pediatrics Physician services 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
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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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