Individual
ERICA LEVACK CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2051
(510) 307-1920
Mailing address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2051
(510) 307-1920
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301080818
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
C153733
CA
207V00000X
Obstetrics & Gynecology Physician
EC080818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4791280
—
MI
Enumeration date
03/24/2006
Last updated
12/17/2021
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