Levine, Edward Fred

Levine, Edward Fred is an individual health care provider with primary practice located at 1211 W La Palma Ave Suite 505, Anaheim CA 92801-2815. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Levine, Edward Fred can be contacted via phone (714) 778-1032.

Contact Information

Primary practice address
1211 W La Palma Ave Suite 505 Anaheim CA 92801-2815
Phone: (714) 778-1032
Fax: (714) 778-5634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A23105 California

Profile Details

NPI number 1194705335
LBN Legal business name Levine, Edward Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 25th, 2011 - about 13 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 1194705335 NPPES
California MEDICAID GR0093510
California MEDICAID 00A231050

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