Individual
JACLYNN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(818) 648-8008
Mailing address
4950 W SUNSET BLVD FL 2, LOS ANGELES, CA 90027-5822
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20A17819
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/27/2023
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