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Individual

IAN A LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5455 WILSHIRE BOULEVARD, SUITE 1120, LOS ANGELES, CA 90036-4201
(323) 549-3030
(323) 549-3049
Mailing address
DEPT LA 21559, PASADENA, CA 91185-1559
(949) 263-8620
(949) 263-8620

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
C43357
CA
2085N0700X
Neuroradiology Physician
C43357
CA
2085N0904X
Nuclear Radiology Physician
C43357
CA
2085P0229X
Pediatric Radiology Physician
C43357
CA
2085R0202X
Diagnostic Radiology Physician
C43357
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C43357
CA
2085U0001X
Diagnostic Ultrasound Physician
C43357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C433570
CA
Enumeration date
08/25/2006
Last updated
03/07/2023
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