Individual
NICOLE LILLIAN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 15TH ST STE 2100, SANTA MONICA, CA 90404-1101
(310) 319-1234
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A201681
CA
Other
Enumeration date
03/31/2020
Last updated
08/01/2025
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