Individual
DR. GERALD BENNETT LEVINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35131 BEACH RD, CAPISTRANO BEACH, CA 92624-1737
(949) 496-1067
Mailing address
35131 BEACH RD, CAPISTRANO BEACH, CA 92624-1737
(949) 496-1067
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A23307
CA
208D00000X
General Practice Physician
A23307
CA
Other
Enumeration date
03/23/2013
Last updated
03/23/2013
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