| Gerald A. Levine M.D. a Medical Corporation | |
|
2001 Santa Monica Blvd Ste 390w Santa Monica CA 90404-2207 | |
| (310) 453-0559 | |
| (310) 453-4770 |
| Full Name | Gerald A. Levine M.D. a Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Santa Monica Blvd Ste 390w, Santa Monica, California |
| Authorized Official Name and Position | Gerald a Levine MD a Medical Corporation (PRESIDENT) |
| Authorized Official Contact | 3104530559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald A. Levine M.D. a Medical Corporation 2001 Santa Monica Blvd Ste 390w Santa Monica CA 90404-2207 Ph: (310) 453-0559 | Gerald A. Levine M.D. a Medical Corporation 2001 Santa Monica Blvd Ste 390w Santa Monica CA 90404-2207 Ph: (310) 453-0559 |
| NPI Number | 1972815504 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Medicare PECOS PAC ID | 4688998024 |
|---|---|
| Medicare Enrollment ID | O20150113001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972815504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Gerald a Levine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508886144 PECOS PAC ID: 3779778535 Enrollment ID: I20101108000109 |
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