Individual ProviderPhillip LevineInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8631 W 3rd St, 815e, Los Angeles, CA 90048-5901(310) 657-3145PECOS EnrollmentBased on the most recent information from CMS, provider Phillip Levine is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1477578805Provider TypeIndividualFull NameLevine, PhillipCredentialMDGenderMaleSole ProprietorYesEnumeration Date7/13/2006Last Updated2/5/2010Contact InformationPractice LocationPractice Address8631 W 3rd St, 815e, Los Angeles, CA 90048-5901Phone(310) 657-3145Fax(310) 657-0843Mailing LocationMailing Address8631 W 3rd St, 815e, Los Angeles, CA 90048-5901Phone(310) 657-3145Fax(310) 657-0843Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG35171CaliforniaProvider IdentifiersIDDescriptionIssuerID00G351710DescriptionMedicaidIssuerUnlistedCalifornia