Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A38605 | CA |
Y | 207VG0400X | Gynecologist | A38605 | CA |
NPI | 1083955959 |
---|---|
Provider Name | Dr. Myra Levinson |
First Address | Beverly Hills, CA 90212-4516 |
Second Address | Beverly Hills, CA 90212-4516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2013 |
Last Update Date | 02/03/2013 |