Individual
VIVIAN LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A72051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A720510
—
CA
Enumeration date
11/17/2006
Last updated
02/13/2014
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