Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | E2850 | CA |
NPI | 1265441521 |
---|---|
Provider Name | Dr. David Reece Levin |
First Address | Fountain Valley, CA 92708-5760 |
Second Address | Fountain Valley, CA 92708-5760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 03/06/2016 |