Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | A160815 | CA |
NPI | 1336406974 |
---|---|
Provider Name | Dr. Danielle L Levitt |
First Address | Boston, MA 02115-5724 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 10/07/2019 |