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Organization
NORMAN LEVIN, M.D., A PROFESSIONAL CORPORATION
Active
Organization
NORMAN LEVIN, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN LEVIN M.D. (SOLE OWNER/PRESIDENT)
(818) 888-7815
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, STE.# 111, ENCINO, CA 91316-1502
(818) 784-8975
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G9672
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G9672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G96720
EDS/ MEDI-CAL
CA
01
—
000G96721
BLUE SHIELD
CA
Enumeration date
07/30/2006
Last updated
07/30/2008
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