Doctor Name: | DR. MATTHEW LEVINE |
NPI Number: | 1801994231 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | |
Business Practice Address: | 24012 Calle De La Plata 345 Laguna Hills, CA - 926533621 |
Business Phone Number: | 9497704177 |
Business Fax Number: | 9497709639 |
Mailing Address: | 24012 Calle De La Plata, 345 LAGUNA HILLS |
State: | CA |
Postal Code: | 926533621 |
Phone Number: | 9497704177 |
Fax Number: | 9497709639 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |