| Maria Leviste Md Inc. | |
|
1101 N Pacific Ave Suite #103 Glendale CA 91202-3250 | |
| (818) 783-9005 | |
| (818) 932-9936 |
| Full Name | Maria Leviste Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 N Pacific Ave, Glendale, California |
| Authorized Official Name and Position | Maria Leviste (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8187839005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Leviste Md Inc. 6150 Paseo La Vis Woodland Hills CA 91367-1082 Ph: (818) 783-9005 | Maria Leviste Md Inc. 1101 N Pacific Ave Suite #103 Glendale CA 91202-3250 Ph: (818) 783-9005 |
| NPI Number | 1457598385 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Medicare PECOS PAC ID | 9537225149 |
|---|---|
| Medicare Enrollment ID | O20090306000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457598385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A39016 (California) | Primary |
| Provider Name | Maria Leviste |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801924873 PECOS PAC ID: 6901962513 Enrollment ID: I20090306000102 |
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