Doctor Name: | BERNARD S LEWINSKY |
NPI Number: | 1417930140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A23754 |
Business Practice Address: | 5522 Sepulveda Blvd Sherman Oaks, CA - 914113437 |
Business Phone Number: | 8189971522 |
Business Fax Number: | 8189970705 |
Mailing Address: | Po Box 10050, MANHATTAN BEACH |
State: | CA |
Postal Code: | 902677550 |
Phone Number: | 3103354065 |
Fax Number: | 3103354098 |
NPI Enumeration Date: | 11/28/2005 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A23754 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |