Individual
DR. JONATHAN DAVID LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1235 MARIN AVE, ALBANY, CA 94706-2042
(866) 998-6060
(510) 525-8591
Mailing address
PO BOX 7998, BERKELEY, CA 94707-0998
(866) 998-6060
(510) 525-8591
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G22219
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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