Healthcare Provider Details

I. General information

NPI: 1588754931
Provider Name (Legal Business Name): S LEVINE AND D DUBE ASSOCIATES IN OBSTETRICS AND GYNECOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 BUSH ST STE 500
SAN FRANCISCO CA
94109-5976
US

IV. Provider business mailing address

1199 BUSH ST STE 500
SAN FRANCISCO CA
94109-5976
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-3128
  • Fax: 415-674-2601
Mailing address:
  • Phone: 415-923-3128
  • Fax: 415-674-2601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDRA C LEVINE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 415-923-3128