Organization
LEVINE, ROBERT E. MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ERNEST LEVINE M.D (PRESIDENT)
(310) 860-0800
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD STE 306, BEVERLY HILLS, CA 90211-1841
(310) 860-0800
(310) 773-9208
Mailing address
9001 WILSHIRE BLVD STE 306, BEVERLY HILLS, CA 90211-1841
(310) 860-0800
(310) 773-9208
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G14579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G14579
MEDICARE ID- TYPE UNSPECIFIED
CA
Enumeration date
01/05/2011
Last updated
02/25/2022
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