Individual
DR. STEPHEN M LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12343 ERWIN ST, NORTH HOLLYWOOD, CA 91606-4613
(760) 243-9316
(818) 761-9847
Mailing address
12343 ERWIN ST, NORTH HOLLYWOOD, CA 91606-4613
(760) 243-9316
(818) 761-9847
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
00G21183
CA
2084P0005X
Neurodevelopmental Disabilities Physician
00G21183
CA
208D00000X
General Practice Physician
00G21183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G211830
—
CA
Enumeration date
09/27/2006
Last updated
04/22/2008
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