Individual
WILLIAM LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
Mailing address
4133 4TH AVE, LOS ANGELES, CA 90008-3901
(323) 299-3320
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
11365
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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