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Contact Information

MARK C LEVINE MD A PROFESSIONAL CORPORATION
8851 CENTER DRIVE
SUITE 401
LA MESA, CA91942
 Phone: 619-667-1007
 Fax: 619-667-5324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MARK C LEVINE MD A PROFESSIONAL CORPORATION

NPI Number 1235332461
LBN Legal business name MARK C LEVINE MD A PROFESSIONAL CORPORATION
Authorized official MARK LEVINE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # C34733
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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