Organization
STEPHEN C LEVY MD & RONALD M ANDIMAN MD
Active
Organization
STEPHEN C LEVY MD & RONALD M ANDIMAN MD
Active
Other names
Southern California Neurological Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD ANDIMAN MD (PRESIDENT)
(310) 855-7161
Entity
Organization
Contact information
Practice address
8631 W 3RD ST # 531E, LOS ANGELES, CA 90048-5901
(310) 855-7161
Mailing address
8631 W 3RD ST # 531E, LOS ANGELES, CA 90048-5901
(310) 855-7161
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
W5003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ81481Z
—
CA
Enumeration date
05/09/2007
Last updated
06/24/2008
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