Organization
SCOTT D LEVENSON, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D LEVENSON MD (PRESIDENT)
(650) 596-8800
Entity
Organization
Contact information
Practice address
1000 LAUREL ST, SAN CARLOS, CA 94070-3939
(650) 596-8800
(650) 596-8802
Mailing address
PO BOX 7625, MENLO PARK, CA 94026-7625
(650) 596-8800
(650) 596-8802
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
A98824
CA
207RG0100X
Gastroenterology Physician
Primary
G71807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBB12433B
MEDAVANT SUBMITTER ID
CA
Enumeration date
11/23/2007
Last updated
12/22/2008
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