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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689614224 | NPPES |
California | Other | 00G642190 | BLUE SHIELD |
California | MEDICAID | 00G642190 | BLUE SHIELD |
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