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NPI Code Detail

MEDICARE: ROBERT LEVIN MD

MEDICARE: ROBERT LEVIN MD
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
1207RH0003XHematology & Oncology Physician036045642IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CB341513OTHERCAMEDICARE PTAN CA

General Provider Information

NPI Number : 1932186467
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT LEVIN MD
Provider Business Mailing Address
First Line : 2220 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2514
Country : US
Telephone Number : 310-644-8400
Fax Number :
Provider Business Practice Location Address
First Line : 2220 W MANCHESTER BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90305-2514
Country : US
Telephone Number : 310-644-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 06/03/2020

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