Individual
MICHAEL LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 DOLPHIN DR, DANVILLE, CA 94526-1826
(925) 886-9961
Mailing address
1 ANNABEL LN STE 214, SAN RAMON, CA 94583-4360
(925) 264-4069
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G057528
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G57528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G57528
CA STATE LICENSE
CA
Enumeration date
12/04/2006
Last updated
03/24/2020
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