Individual
DR. EDWARD FRED LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 W LA PALMA AVE, SUITE 505, ANAHEIM, CA 92801-2815
(714) 778-1032
(714) 778-5634
Mailing address
1211 W LA PALMA AVE, SUITE 505, ANAHEIM, CA 92801-2815
(714) 778-1032
(714) 778-5634
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A23105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A231050
—
CA
05
—
GR0093510
—
CA
Enumeration date
01/20/2006
Last updated
08/25/2011
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