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NPI Code Detail

MEDICARE: GARY A LEVINSON MD A PROFESSIONAL CORPORATION

MEDICARE: GARY A LEVINSON MD A PROFESSIONAL CORPORATION
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
12084P0805XGeriatric Psychiatry PhysicianG15765CA

General Provider Information

NPI Number : 1427060060
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARY A LEVINSON MD A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 340 S. FARRELL DR
Second Line : A208
City : PALM SPRINGS
State : CA
Zip : 92262-7931
Country : US
Telephone Number : 760-773-9252
Fax Number : 760-773-9236
Provider Business Practice Location Address
First Line : 340 S. FARRELL DR
Second Line : A208
City : PALM SPRINGS
State : CA
Zip : 92262-7931
Country : US
Telephone Number : 760-773-9252
Fax Number : 760-773-9236
Authorized Official
Title or Position : OWNER
Name : MR. GARY ALLEN LEVINSON
Credential : MD
Telephone Number : 760-773-9252
Provider Enumeration Date : 08/12/2006
Last Update Date : 12/12/2014

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