MEDICARE: DEBRA A LEVINSKY, M.D., P.C.

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	174400000X	Specialist	G37684	CA

General Provider Information

NPI Number	:	1396045670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBRA A LEVINSKY, M.D., P.C.

Provider Business Mailing Address
First Line	:	895 MORAGA RD STE 11
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-5039
Country	:	US
Telephone Number	:	925-283-5800
Fax Number	:	925-284-8115

Provider Business Practice Location Address
First Line	:	895 MORAGA RD STE 11
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-5039
Country	:	US
Telephone Number	:	925-283-5800
Fax Number	:	925-284-8115

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. DEBRA A LEVINSKY
Credential	:	M.D.
Telephone Number	:	925-283-5800

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	11/02/2010

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