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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FARGO MICHAEL LIVINGSTON, B.A.

Active Sole Proprietor

MR. FARGO MICHAEL LIVINGSTON, B.A. is a Community Health Worker healthcare provider located in VENICE, California. NPI 1740562081 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · VENICE, CA

Registration Details

NPI Number
1740562081
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2011 (14.938619959695 yrs)
Last Updated
Sep 13, 2011
Sole Proprietor
Yes

Practice Information

Address
717 LINCOLN BLVD
VENICE, CA, 902912845
Browse CA providers · Browse ZIP 90291
Phone
3103999883
Fax
1310399967
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in VENICE, CA

Name Credential NPI
GABRIELA CARDENAS 1649545823
ROBERTO HERRERA 1851658744
ANNA HENDERSON 1427300136
VERONICA VAZQUEZ 1518308063
DIANA BROWN 1265847677
MICHELLE JENNIFER MARTINEZ 1639715030
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.