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Contact Information

GARY M LEVINE, MD
24401 CALLE DE LA LOUISA STE 200
LAGUNA HILLS, CA92653
 Phone: 949-452-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GARY M LEVINE · (Male)

NPI # 1689614224
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 08/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G64219
  • CA Medicaid 00G642190
  • CA Other 00G642190 BLUE SHIELD
Hospital affiliation(s)
  • ORANGE COAST MEMORIAL MEDICAL CENTER - (Acute Care)
    9920 TALBERT AVENUE
    FOUNTAIN VALLEY, CA 92708
  • SADDLEBACK MEMORIAL MEDICAL CENTER - (Acute Care)
    24451 HEALTH CENTER DRIVE
    LAGUNA HILLS, CA 92653
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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