Levine, Gary M.

Levine, Gary M. is an individual health care provider with primary practice located at 24401 Calle De La Louisa Ste 200 , Laguna Hills CA 92653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Levine, Gary M. can be contacted via phone (949) 452-7200.

Contact Information

Primary practice address
24401 Calle De La Louisa Ste 200 Laguna Hills CA 92653
Phone: (949) 452-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G64219 California

Profile Details

NPI number 1689614224
LBN Legal business name Levine, Gary M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 24th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689614224 NPPES
California Other 00G642190 BLUE SHIELD
California MEDICAID 00G642190 BLUE SHIELD

Popular Providers