Organization
BREAST CARE SPECIALISTS MEDICAL GROUP, INC.
Active
Other names
Breast Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M. LEVINE MD (OWNER/CEO)
(949) 452-7200
Entity
Organization
Contact information
Practice address
24401 HEALTH CENTER DR, LAGUNA HILLS, CA 92653-3615
(949) 452-7200
(775) 624-9774
Mailing address
PO BOX 51787, LOS ANGELES, CA 90051-6087
(949) 452-7200
(775) 624-9774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G64219
CA
Other
Enumeration date
10/06/2014
Last updated
12/06/2024
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