MEDICARE: MARK DAVID LEVINE, MD NEWARK PC

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

General Provider Information

NPI Number	:	1336365709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK DAVID LEVINE, MD NEWARK PC

Provider Business Mailing Address
First Line	:	3841 N FREEWAY BLVD
Second Line	:	120
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1949
Country	:	US
Telephone Number	:	916-576-7898
Fax Number	:	916-285-0338

Provider Business Practice Location Address
First Line	:	39899 BALENTINE DR
Second Line	:	210
City	:	NEWARK
State	:	CA
Zip	:	94560-5355
Country	:	US
Telephone Number	:	510-657-9700
Fax Number	:	510-657-7335

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARK DAVID LEVINE
Credential	:	MD
Telephone Number	:	916-576-7898

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/20/2013

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