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NPI Code Detail

MEDICARE: DR. MICHEL F. LEVESQUE M.D.

MEDICARE:  DR. MICHEL F. LEVESQUE  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
1207T00000XNeurological Surgery PhysicianG59708CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1954390150OTHERCATAX ID

General Provider Information

NPI Number : 1205915725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHEL F. LEVESQUE M.D.
Provider Business Mailing Address
First Line : 269 S BEVERLY DR
Second Line : STE 320
City : BEVERLY HILLS
State : CA
Zip : 90212-3851
Country : US
Telephone Number : 310-659-6633
Fax Number : 310-659-6631
Provider Business Practice Location Address
First Line : 444 S SAN VICENTE BLVD
Second Line : STE 800
City : LOS ANGELES
State : CA
Zip : 90048-4174
Country : US
Telephone Number : 310-659-6633
Fax Number : 310-659-6631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 06/29/2016

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Directions to “ DR. MICHEL F. LEVESQUE M.D.” Practice Location

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