Healthcare Provider Details

I. General information

NPI: 1033869995
Provider Name (Legal Business Name): ERIN YUNJU LEVOIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 FAIR OAKS AVE STE 175
SOUTH PASADENA CA
91030-2683
US

IV. Provider business mailing address

625 FAIR OAKS AVE STE 175
SOUTH PASADENA CA
91030-2683
US

V. Phone/Fax

Practice location:
  • Phone: 626-598-3770
  • Fax:
Mailing address:
  • Phone: 626-598-3770
  • Fax: 626-598-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA197838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: