Individual
UNITED BAUDOUIN LEVAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4047 NORMAL ST, SAN DIEGO, CA 92103-2617
(760) 842-2232
Mailing address
4047 NORMAL ST, SAN DIEGO, CA 92103-2617
(760) 842-2232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
175T00000X
Peer Specialist
Primary
MPSS-MYRPVZ
CA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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