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Individual

DR. JONATHAN LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14021 AMARGOSA RD, VICTORVILLE, CA 92392-6404
(760) 983-2030
Mailing address
458 N FULLER AVE STE 103, LOS ANGELES, CA 90036-2521
(323) 605-9323
(301) 774-0488

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A60920
CA
174400000X
Specialist
D0059441
MD

Other

Enumeration date
09/02/2006
Last updated
08/11/2022
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