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NPI Code Detail

MEDICARE: BARBARA SUSAN LEVY M.D.

MEDICARE: BARBARA SUSAN LEVY M.D.
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
1174400000XSpecialistMD00019274WA
2207VG0400XGynecology PhysicianG43461CA

General Provider Information

NPI Number : 1184629859
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA SUSAN LEVY M.D.
Provider Business Mailing Address
First Line : 1485 DEER HILL CT
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-7429
Country : US
Telephone Number : 253-740-7350
Fax Number :
Provider Business Practice Location Address
First Line : 1485 DEER HILL CT
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-7429
Country : US
Telephone Number : 253-740-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 11/05/2020

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