Healthcare Provider Details

I. General information

NPI: 1174532121
Provider Name (Legal Business Name): DAVID G. LEVINSOHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 CAMINO ALTO STE 2
MILL VALLEY CA
94941-2219
US

IV. Provider business mailing address

2299 POST ST STE 103
SAN FRANCISCO CA
94115-3443
US

V. Phone/Fax

Practice location:
  • Phone: 415-388-5100
  • Fax: 415-388-5155
Mailing address:
  • Phone: 415-923-0992
  • Fax: 415-923-1036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036153611
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA67296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: