MEDICARE: STEVEN LEVIN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	46443	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46443	OTHER	CA	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1083988190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LEVIN PHARMD

Provider Business Mailing Address
First Line	:	22349 ALGUNAS RD
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-5002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22349 ALGUNAS RD
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-5002
Country	:	US
Telephone Number	:	818-336-1662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	04/26/2023

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