Levine, Martin D.

Levine, Martin D. is an individual health care provider with primary practice located at 6815 Noble Ave Ste 105 , Van Nuys CA 91405-6514. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Levine, Martin D. can be contacted via phone (818) 781-6684.

Contact Information

Primary practice address
6815 Noble Ave Ste 105 Van Nuys CA 91405-6514
Phone: (818) 781-6684
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G021066 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G21066 California

Profile Details

NPI number 1669470860
LBN Legal business name Levine, Martin D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 11th, 2018 - about 8 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 1669470860 NPPES
California MEDICAID 00G210660

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