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Organization
JENNIFER RAE LEVITT PHYSICIAN ASSISTANT, INC
Active
Organization
JENNIFER RAE LEVITT PHYSICIAN ASSISTANT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R KOSOVA PA (FOUNDER)
(323) 289-8900
Entity
Organization
Contact information
Practice address
1439 N HIGHLAND AVE STE 1059, LOS ANGELES, CA 90028-7622
(323) 289-8900
Mailing address
6250 HOLLYWOOD BLVD UNIT 5A, LOS ANGELES, CA 90028-5331
(214) 455-5366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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