# PHILLIP M. LEVIN, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538251772
- **Authorized official:** PHILLIP M. LEVIN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 652-8132

## Contact information

- **Practice address:** 8631 W 3RD ST, SUITE 615E, LOS ANGELES, CA 90048-5901
- **Practice address phone:** (310) 652-8132
- **Practice address fax:** (310) 659-3815
- **Mailing address:** 8631 W 3RD ST, SUITE 615E, LOS ANGELES, CA 90048-5901
- **Mailing address phone:** (310) 652-8132
- **Mailing address fax:** (310) 659-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A021219 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020