| Desireelevyim Md | |
|
7320 Woodlake Ave Ste 250 West Hills CA 91307-1495 | |
| (818) 593-2191 | |
| (818) 593-2194 |
| Full Name | Desireelevyim Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7320 Woodlake Ave Ste 250, West Hills, California |
| Authorized Official Name and Position | Desiree Levyim (OWNER) |
| Authorized Official Contact | 8185932191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desireelevyim Md 7320 Woodlake Ave Ste 250 West Hills CA 91307-1495 Ph: (818) 593-2191 | Desireelevyim Md 7320 Woodlake Ave Ste 250 West Hills CA 91307-1495 Ph: (818) 593-2191 |
| NPI Number | 1386272219 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Medicare PECOS PAC ID | 9537590427 |
|---|---|
| Medicare Enrollment ID | O20200508001552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386272219 | NPI | - | NPPES |
| Provider Name | Desiree Levyim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497167985 PECOS PAC ID: 3971574062 Enrollment ID: I20200508001624 |
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