Individual
DR. CLARENCE BERNARD LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 S BARRINGTON AVE APT 403, LOS ANGELES, CA 90049-6452
(310) 472-4146
Mailing address
410 S BARRINGTON AVE APT 403, LOS ANGELES, CA 90049-6452
(310) 472-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C17783
CA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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