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Organization
CHARLES T LEVITAN MD INC
Active
Organization
CHARLES T LEVITAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T LEVITAN MD (OWNER PRESIDENT)
(714) 539-2912
Entity
Organization
Contact information
Practice address
729 E CHAPMAN AVENUE, ORANGE, CA 92866
(714) 539-2912
(714) 997-9333
Mailing address
729 E CHAPMAN AVENUE, ORANGE, CA 92866
(714) 539-2912
(714) 997-9333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G25942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G259423
—
CA
Enumeration date
06/01/2006
Last updated
08/22/2020
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