Individual
DR. SCOTT DAVID LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 LAUREL ST, SAN CARLOS, CA 94070-3919
(650) 596-8800
(650) 596-8802
Mailing address
PO BOX 7625, MENLO PARK, CA 94026-7625
(650) 596-8800
(650) 596-8802
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G071807
CA
207RI0008X
Hepatology Physician
G71807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G718071
—
CA
Enumeration date
12/07/2005
Last updated
12/29/2008
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