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NPI Code Detail

MEDICARE: STEPHEN M. LEVINE MD., APC

MEDICARE: STEPHEN M. LEVINE MD., APC
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 PhysicianG21183CA
2208D00000XGeneral Practice PhysicianG21183CA

General Provider Information

NPI Number : 1902097223
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN M. LEVINE MD., APC
Provider Business Mailing Address
First Line : 12343 ERWIN ST
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-4613
Country : US
Telephone Number : 760-243-9316
Fax Number : 818-761-9847
Provider Business Practice Location Address
First Line : 12343 ERWIN ST
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-4613
Country : US
Telephone Number : 760-243-9316
Fax Number : 818-761-9847
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN M LEVINE
Credential : M.D.
Telephone Number : 760-243-9316
Provider Enumeration Date : 08/05/2007
Last Update Date : 04/22/2008

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