Organization Name: | HOWARD P. LEVY D.O., INC |
NPI Number: | 1285900340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD P. LEVY (PRESIDENT/DIRECTOR) |
Mailing Address: | 57370 29 Palms Hwy Suite 203 Yucca Valley |
State: | CA US |
Postal Code: | 922842900 |
Phone Number: | 7603690069 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A4148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |