Levine, Fred
Levine, Fred is an individual health care provider with primary practice located at 7910 Frost St Ste 200, San Diego CA 92123-2771. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Levine, Fred can be contacted via phone (619) 543-7800.Contact Information
Primary practice address
7910 Frost St Ste 200
San Diego CA 92123-2771
Phone: (619) 543-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | G65341 | California |
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | G65341 | California |
Profile Details
| NPI number | 1154493476 |
|---|---|
| LBN Legal business name | Levine, Fred |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | May 9th, 2014 - 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 | 1154493476 | NPPES |
| California | MEDICAID | 00G653410 |
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