Individual
DR. HENRY LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 256-6010
(855) 266-6110
Mailing address
PO BOX 1180, CLAREMONT, CA 91711-1180
(626) 256-6010
(855) 266-6110
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
G34680
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G34680
MEDICAL LICENSE NUMBER
CA
01
—
W11134C
MEDICARE GROUP
CA
Enumeration date
12/02/2005
Last updated
06/19/2014
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