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1021 First St Ste 5 Benicia CA 94510 | |
| (707) 554-1146 | |
| (707) 554-4300 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1021 First St Ste 5, Benicia, California |
| Authorized Official Name and Position | Mark David Levine (PRESIDENT) |
| Authorized Official Contact | 9165767898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2081 Arena Blvd Ste 160 Sacramento CA 95834 Ph: (916) 576-7898 | 1021 First St Ste 5 Benicia CA 94510 Ph: (707) 554-1146 |
| NPI Number | 1023266053 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023266053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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