Individual
PHILLIP LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8631 W 3RD ST, 815E, LOS ANGELES, CA 90048-5901
(310) 657-3145
(310) 657-0843
Mailing address
8631 W 3RD ST, 815E, LOS ANGELES, CA 90048-5901
(310) 657-3145
(310) 657-0843
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G35171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G351710
—
CA
Enumeration date
07/13/2006
Last updated
02/05/2010
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