Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 20A4148 | CA |
Y | 207Q00000X | Family Doctor | 20A4148 | CA |
N | 207QA0505X | Family Doctor - Adult Medicine | 20A4148 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 20A4148 | CA |
N | 207QS0010X | Family Doctor - Sports Medicine | 20A4148 | CA |
N | 207R00000X | Internist | 20A4148 | CA |
N | 111NI0900X | Internist | 20A4148 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 20A4148 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 20A4148 | CA |
N | 207RG0300X | Geriatric Medicine | 20A4148 | CA |
N | 207RR0500X | Rheumatology | 20A4148 | CA |
N | 207RS0012X | Sleep Medicine | 20A4148 | CA |
N | 2081P2900X | Pain Medicine | 20A4148 | CA |
N | 208D00000X | General Practice Physician | 20A4148 | CA |
NPI | 1053323626 |
---|---|
Provider Name | Dr. Howard Phillip Levy |
First Address | Yucca Valley, CA 92284-2900 |
Second Address | Yucca Valley, CA 92284-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 27/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020A41480 | PIN (01) | CA |
E25977 | (02) | CA |