Individual
DR. JEFFREY RUBIN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE, SUITE 300, MODESTO, CA 95350-4429
(209) 521-0767
(209) 521-5204
Mailing address
220 STANDIFORD AVE, STE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A46304
CA
2084N0400X
Neurology Physician
JL053156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130014307
PALMETTO
MI
01
—
1300926612
HEALTHPLUS
MI
01
—
1307311791
BLUE CROSS
MI
05
—
307646010
—
MI
01
—
A46304
MEDICAL LICENSE
CA
Enumeration date
08/08/2006
Last updated
08/15/2023
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