Individual
MICHAEL LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2021 SANTA MONICA BLVD, SUITE 304E, SANTA MONICA, CA 90404-2201
(310) 829-3636
(310) 829-3637
Mailing address
2021 SANTA MONICA BLVD, SUITE 304E, SANTA MONICA, CA 90404-2208
(310) 829-3636
(310) 829-3637
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3574
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E35740
—
CA
Enumeration date
07/05/2006
Last updated
03/06/2008
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