Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | G65972 | CA |
NPI | 1134130651 |
---|---|
Provider Name | Dr. Gail L Levine |
First Address | Pasadena, CA 91105-3010 |
Second Address | Pasadena, CA 91105-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E24896 | (02) | CA |