| Jeffrey R Levin Md Inc | |
|
1541 Florida Ave Ste 300 Modesto CA 95350-4429 | |
| (209) 521-0767 | |
| (209) 521-5204 |
| Full Name | Jeffrey R Levin Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1541 Florida Ave, Modesto, California |
| Authorized Official Name and Position | Jeffrey Rubin Levin (PRESIDENT) |
| Authorized Official Contact | 2095210767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey R Levin Md Inc 220 Standiford Ave Ste F Modesto CA 95350-1159 Ph: (209) 579-5628 | Jeffrey R Levin Md Inc 1541 Florida Ave Ste 300 Modesto CA 95350-4429 Ph: (209) 521-0767 |
| NPI Number | 1821254665 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 3779648837 |
|---|---|
| Medicare Enrollment ID | O20090224000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821254665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey R Levin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740290485 PECOS PAC ID: 9133208879 Enrollment ID: I20090114000536 |
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