Susan Eglick Levy
Pediatrician
1600 San Fernando Rd
San Fernando
, California 91340-3115
Susan Eglick Levy
Pediatrician
1600 San Fernando Rd
San Fernando
, California 91340-3115
(818) 365-4031
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Susan Eglick Levy
- 1172 N Maclay Ave
- San Fernando, CA
- Zip : 91340-1328
- Fax : (818) 365-4031
- Phone : (818) 898-1388
Second Address
- Susan Eglick Levy
- 1600 San Fernando Rd
- San Fernando, CA
- Zip : 91340-3115
- Fax : (818) 898-4826
- Phone : (818) 365-8086
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | G29332 | CA |
National Provider Identifier
| NPI | 1003817883 |
|---|---|
| Provider Name | Susan Eglick Levy |
| First Address | San Fernando, CA 91340-1328 |
| Second Address | San Fernando, CA 91340-3115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A91189 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.