Individual
MARTIN D. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6815 NOBLE AVE STE 105, VAN NUYS, CA 91405-6514
(818) 781-6684
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(818) 550-0900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G021066
CA
2084N0400X
Neurology Physician
Primary
G21066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G210660
—
CA
Enumeration date
07/12/2005
Last updated
10/11/2018
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