Provider Demographics
NPI:1134529761
Name:LIVING WELL PREGNANCY CENTER
Entity type:Organization
Organization Name:LIVING WELL PREGNANCY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAMIDASS
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:714-726-4753
Mailing Address - Street 1:2010 N TUSTIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-3900
Mailing Address - Country:US
Mailing Address - Phone:714-637-9664
Mailing Address - Fax:714-633-6238
Practice Address - Street 1:2010 N TUSTIN ST STE D
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-3900
Practice Address - Country:US
Practice Address - Phone:714-637-9664
Practice Address - Fax:714-633-6238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM 126251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable