Individual
DR. IRA D. LEVINE I
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 4TH AVE, SUITE 440, SAN DIEGO, CA 92103-2116
(619) 298-8891
(619) 298-4997
Mailing address
4060 4TH AVE, SUITE 440, SAN DIEGO, CA 92103-2116
(619) 298-8891
(619) 298-4997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G17859
CA
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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