Levine, Bruce D

Levine, Bruce D is an sole proprietor health care provider with primary practice located at 1360 W 6Th St 150W, San Pedro CA 90732-3514. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Levine, Bruce D can be contacted via phone (310) 548-1191.

Contact Information

Primary practice address
1360 W 6Th St 150W San Pedro CA 90732-3514
Phone: (310) 548-1191
Fax: (310) 548-4007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3485 California

Profile Details

NPI number 1437379583
LBN Legal business name Levine, Bruce D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2007
Last updated Jun 20th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437379583 NPPES
California MEDICAID 000E34850

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