Levenson, Jeremy Ethan

Levenson, Jeremy Ethan is an sole proprietor health care provider with primary practice located at 2125 Arizona Ave , Santa Monica CA 90404-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Levenson, Jeremy Ethan can be contacted via phone (310) 829-8701.

Contact Information

Primary practice address
2125 Arizona Ave Santa Monica CA 90404-1337
Phone: (310) 829-8701
Fax: (310) 315-4062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A22502 California

Profile Details

NPI number 1659304590
LBN Legal business name Levenson, Jeremy Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Apr 16th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659304590 NPPES
California Other P00178725 RAILROAD MEDICARE
California MEDICAID 00A225020 RAILROAD MEDICARE

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