Individual
MICHAEL S LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ, SUITE 723, LOS ANGELES, CA 90095-0001
(310) 794-1300
(310) 794-1304
Mailing address
100 UCLA MEDICAL PLZ, SUITE 723, LOS ANGELES, CA 90095-0001
(310) 794-1300
(310) 794-1304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G46153
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G46153
CA
207RP1001X
Pulmonary Disease Physician
Primary
G46153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G461530
—
CA
Enumeration date
11/20/2006
Last updated
07/13/2008
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