Levine, Mauricio
Levine, Mauricio is an individual health care provider with primary practice located at 765 Medical Center Ct Suite: 201, Chula Vista CA 91911-6600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Levine, Mauricio can be contacted via phone (619) 482-8080.Contact Information
Primary practice address
765 Medical Center Ct Suite: 201
Chula Vista CA 91911-6600
Phone: (619) 482-8080
Fax: (619) 482-8072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A45582 | California |
Profile Details
| NPI number | 1407833031 |
|---|---|
| LBN Legal business name | Levine, Mauricio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1407833031 | NPPES |
| California | MEDICAID | 00A455821 |
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