Organization
IRA D LEVINE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA DAVID LEVINE M.D. (OWNER)
(619) 298-8891
Entity
Organization
Contact information
Practice address
4060 4TH AVE STE 440, SAN DIEGO, CA 92103-2183
(619) 298-8891
(619) 298-4997
Mailing address
4060 4TH AVE STE 440, SAN DIEGO, CA 92103-2183
(619) 298-8891
(619) 298-4997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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