Gerald A. Levine M.d. A Medical Corporation | |
2001 Santa Monica Blvd Ste 390w Santa Monica CA 90404-2207 | |
(310) 453-0559 | |
(310) 453-4770 |
Full Name | Gerald A. Levine M.d. A Medical Corporation |
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Speciality | Internal Medicine |
Location | 2001 Santa Monica Blvd Ste 390w, Santa Monica, California |
Authorized Official Name and Position | Gerald A Levine Md A Medical Corporation (PRESIDENT) |
Authorized Official Contact | 3104530559 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gerald A. Levine M.d. A Medical Corporation 2001 Santa Monica Blvd Ste 390w Santa Monica CA 90404-2207 Ph: (310) 453-0559 | Gerald A. Levine M.d. A Medical Corporation 2001 Santa Monica Blvd Ste 390w Santa Monica CA 90404-2207 Ph: (310) 453-0559 |
NPI Number | 1972815504 |
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Provider Enumeration Date | 07/12/2010 |
Last Update Date | 03/11/2020 |
Medicare PECOS PAC ID | 4688998024 |
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Medicare Enrollment ID | O20150113001929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972815504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Gerald A Levine |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1508886144 PECOS PAC ID: 3779778535 Enrollment ID: I20101108000109 |
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