Individual
DR. ERIC SCOTT LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2045 ROYAL AVE, SUITE 221, SIMI VALLEY, CA 93065-4665
(805) 581-3040
(805) 581-1943
Mailing address
2045 ROYAL AVE, SUITE 221, SIMI VALLEY, CA 93065-4665
(805) 581-3040
(805) 581-1943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G832831
—
CA
Enumeration date
04/09/2007
Last updated
08/26/2010
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