Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G34681 | CA |
N | 207RI0011X | Interventional Cardiology | G34681 | CA |
N | 207U00000X | Nuclear Medicine Specialist | G34681 | CA |
NPI | 1235102153 |
---|---|
Provider Name | Michael B Levey |
First Address | West Hills, CA 91307-2003 |
Second Address | West Hills, CA 91307-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 06/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A91620 | (02) | CA |