Healthcare Provider Details

I. General information

NPI: 1679223028
Provider Name (Legal Business Name): YONAH LEVY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 E CESAR E CHAVEZ AVE
LOS ANGELES CA
90022-1168
US

IV. Provider business mailing address

8444 W 4TH ST
LOS ANGELES CA
90048-4102
US

V. Phone/Fax

Practice location:
  • Phone: 323-980-9900
  • Fax:
Mailing address:
  • Phone: 415-730-2497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA208783
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: