Organization
LEVINE PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEVINE PH.D. (CEO)
(310) 488-1116
Entity
Organization
Contact information
Practice address
11340 W OLYMPIC BLVD, SUITE 305, LOS ANGELES, CA 90064-1608
(310) 488-1116
(310) 975-1354
Mailing address
11340 W OLYMPIC BLVD, SUITE 305, LOS ANGELES, CA 90064-1608
(310) 488-1116
(310) 975-1354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY18691
CA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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