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Organization

NINA LEVY, M.D., PROFESSIONAL MEDICAL CORPORATION

Active
Other names
MediWellness, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NINA LEVY M.D. (PRESIDENT)
(818) 879-7979
Entity
Organization

Contact information

Practice address
28047 DOROTHY DR, SUITE 201, AGOURA HILLS, CA 91301-4925
(818) 879-7979
(818) 337-3043
Mailing address
28047 DOROTHY DR, SUITE 201, AGOURA HILLS, CA 91301-4925
(818) 879-7979
(818) 337-3043

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A83540
CA

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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