MEDICARE: DR. HOPE W LEVIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	220966	MA
2	2084P0804X	Child & Adolescent Psychiatry Physician	A96296	CA

General Provider Information

NPI Number	:	1033109335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOPE W LEVIN MD

Provider Business Mailing Address
First Line	:	11980 SAN VICENTE BLVD
Second Line	:	SUITE 809
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5012
Country	:	US
Telephone Number	:	310-494-0108
Fax Number	:	310-943-9012

Provider Business Practice Location Address
First Line	:	11980 SAN VICENTE BLVD
Second Line	:	SUITE 809
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-5012
Country	:	US
Telephone Number	:	310-494-0108
Fax Number	:	310-943-9012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	09/11/2025

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