Individual
BENJAMIN ADAM VAN PRATT LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 OUTER RD, SAN DIEGO, CA 92154-1351
(619) 429-3733
(855) 576-3613
Mailing address
1016 OUTER RD, SAN DIEGO, CA 92154-1351
(619) 429-3733
(855) 576-3613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A177088
CA
207Q00000X
Family Medicine Physician
MD61272871
WA
Other
Enumeration date
03/26/2019
Last updated
10/15/2024
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