MEDICARE: DR. DAVID R. LEVIN

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	213ES0131X	Foot Surgery Podiatrist

General Provider Information

NPI Number	:	1396936381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DAVID R. LEVIN

Provider Business Mailing Address
First Line	:	30011 IVY GLENN DR STE 107
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-5015
Country	:	US
Telephone Number	:	949-363-1120
Fax Number	:

Provider Business Practice Location Address
First Line	:	30011 IVY GLENN DR STE 107
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-5015
Country	:	US
Telephone Number	:	949-363-1120
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. DAVID REECE LEVIN
Credential	:	DPM
Telephone Number	:	949-363-1120

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	06/03/2016

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