| Charles T Levitan Md Inc | |
|
729 E Chapman Avenue Orange CA 92866 | |
| (714) 539-2912 | |
| (714) 997-9333 |
| Full Name | Charles T Levitan Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 729 E Chapman Avenue, Orange, California |
| Authorized Official Name and Position | Charles T Levitan (OWNER PRESIDENT) |
| Authorized Official Contact | 7145392912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Levitan Md Inc 729 E Chapman Avenue Orange CA 92866 Ph: (714) 539-2912 | Charles T Levitan Md Inc 729 E Chapman Avenue Orange CA 92866 Ph: (714) 539-2912 |
| NPI Number | 1831136365 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831136365 | NPI | - | NPPES |
| 00G259423 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G25942 (California) | Primary |
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