| Organization Name: | RICHARD B LEVIN MD INC |
| NPI Number: | 1326114828 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD BRUCE LEVIN (PHYSICIAN PRESIDENT CEO CORPORATION) |
| Mailing Address: | 17832 Cardiff Circle Huntington Beach |
| State: | CA US |
| Postal Code: | 92649 |
| Phone Number: | 7148493710 |
| Fax Number: | 7148493710 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G29331 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |