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NPI Code Detail

MEDICARE: VERA LEVI

MEDICARE:   VERA  LEVI
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1104751478
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA LEVI
Provider Business Mailing Address
First Line : 12658 TIARA ST
Second Line :
City : VALLEY VILLAGE
State : CA
Zip : 91607-1023
Country : US
Telephone Number : 818-943-8808
Fax Number :
Provider Business Practice Location Address
First Line : 3580 WILSHIRE BLVD STE 2000
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-2533
Country : US
Telephone Number : 213-381-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ VERA LEVI ” Practice Location

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