Levy, Phillip
Levy, Phillip is an sole proprietor health care provider with primary practice located at 5020 Baltimore Dr Ste B , La Mesa CA 91941-3692. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Levy, Phillip can be contacted via phone (619) 464-8303.Contact Information
Primary practice address
5020 Baltimore Dr Ste B
La Mesa CA 91941-3692
Phone: (619) 464-8303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 04884T | California |
Profile Details
| NPI number | 1528189115 |
|---|---|
| LBN Legal business name | Levy, Phillip |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jan 10th, 2013 - about 11 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 | 1528189115 | NPPES |
| California | MEDICAID | SD0048840 |
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