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Individual
PHILIP RICHARD LEVIN
Active
Individual
PHILIP RICHARD LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A78388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G783880
BLUE SHIELD OF CA
CA
05
—
00G783880
—
CA
01
—
00G783880303
CALOPTIMA
CA
01
—
050053104
RR MEDICARE
CA
Enumeration date
06/16/2006
Last updated
09/12/2024
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