Individual
JONATHAN MICHAEL LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 ROWLAND WAY, # 312, NOVATO, CA 94945-5038
(415) 898-6190
(415) 898-1586
Mailing address
165 ROWLAND WAY, # 312, NOVATO, CA 94945-5038
(415) 898-6190
(415) 898-1586
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G50155
CA
2086S0129X
Vascular Surgery Physician
G50155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G501550
—
CA
Enumeration date
11/29/2006
Last updated
09/11/2025
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