Individual
DAVID JACKSON LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CASA ST STE B, SAN LUIS OBISPO, CA 93405-8803
(805) 439-3250
(888) 359-6565
Mailing address
100 CASA ST STE B, SAN LUIS OBISPO, CA 93405-8803
(805) 439-3250
(888) 359-6565
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A108261
CA
Other
Enumeration date
06/15/2009
Last updated
12/13/2018
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