# GORDON L LEVIN MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gordon Leonard Levin, M. D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205171618
- **Authorized official:** DR. GORDON LEONARD LEVIN M. D. (PRESIDENT)
- **Authorized official phone:** (408) 356-4774

## Contact information

- **Practice address:** 14901 NATIONAL AVE, SUITE 101, LOS GATOS, CA 95032-2637
- **Practice address phone:** (408) 356-4774
- **Practice address fax:** (408) 356-8072
- **Mailing address:** 14901 NATIONAL AVE, SUITE 101, LOS GATOS, CA 95032-2637
- **Mailing address phone:** (408) 356-4774
- **Mailing address fax:** (408) 356-8072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G17837 | CA | Yes |

## Other

- **Enumeration date:** 12/11/2012
- **Last updated:** 12/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1427085745 | NPI | CA |
| 05 | — | G178370 | — | CA |