MEDICARE: DR. JASON L. LEVINE PH.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
1	103TC0700X	Clinical Psychologist	PSY18691	CA

General Provider Information

NPI Number	:	1205004132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON L. LEVINE PH.D.

Provider Business Mailing Address
First Line	:	3743 S BARRINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3743 S BARRINGTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3218
Country	:	US
Telephone Number	:	424-241-1339
Fax Number	:

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

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	12/24/2009

Similar Medicare Providers

1063637890 — WESTSIDE SOBER LIVING CENTERS
Practice Location Address:

3743 S BARRINGTON AVE
LOS ANGELES, CA
90066-3218

Practice Phone: 310-390-2340
Practice Fax:

1992243935 — DAVID A SACK MD A PROFESSIONAL MEDICAL CORPORATION
Practice Location Address:

3743 S BARRINGTON AVE
LOS ANGELES, CA
90066-3218

Practice Phone: 310-390-2340
Practice Fax: 310-943-0438

1811852445 — JULIA ESTELLE FLETCHER RN
Practice Location Address:

5927 LINDENHURST AVE
LOS ANGELES, CA
90036-3218

Practice Phone: 318-366-1048
Practice Fax:

1518239201 — MS. SANDRA MAE TROST MFT
Practice Location Address:

957 MANNING AVE
LOS ANGELES, CA
90024-3218

Practice Phone: 310-475-8215
Practice Fax:

1770856817 — DR. JOHN ALAN NASTRO M.D.
Practice Location Address:

945 MANNING AVENUE
LOS ANGELES, CA
90024-3218

Practice Phone: 310-927-7132
Practice Fax: 910-776-7479

1982457875 — GOLDEN HOUR COUNSELING LLC
Practice Location Address:

424 N KINGSLEY DR
LOS ANGELES, CA
90004-3218

Practice Phone: 734-219-3952
Practice Fax: 833-767-3004

Directions to “ DR. JASON L. LEVINE PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.