Healthcare Provider Details

I. General information

NPI: 1699303701
Provider Name (Legal Business Name): MORDECHAI ABBA LEVIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 WILSHIRE BLVD
BEVERLY HILLS CA
90211-2007
US

IV. Provider business mailing address

135 S ORANGE DR
LOS ANGELES CA
90036-3012
US

V. Phone/Fax

Practice location:
  • Phone: 424-230-7169
  • Fax: 424-230-3035
Mailing address:
  • Phone: 424-394-9056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA184798
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: