Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G43461 | CA |
NPI | 1184629859 |
---|---|
Provider Name | Barbara Susan Levy |
First Address | La Jolla, CA 92037-7429 |
Second Address | La Jolla, CA 92037-7429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 05/11/2020 |