Individual
DR. MEARLE DAVID LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 BARRINGTON WALK, LOS ANGELES, CA 90049-2931
(310) 589-1600
(310) 589-1607
Mailing address
PO BOX 6150, MALIBU, CA 90264
(310) 589-1600
(310) 589-1607
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
C39057
CA
324500000X
Substance Abuse Rehabilitation Facility
C39057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR 005999
MEDICAL UPIN
CA
01
—
OOC39057
MEDICAL
CA
Enumeration date
08/09/2007
Last updated
05/24/2016
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