Individual ProviderRobert L LevineDentistDental ProvidersPractice Address4453 Clairemont Mesa Blvd, San Diego, CA 92117(858) 274-2500(858) 455-7200PECOS EnrollmentBased on the most recent information from CMS, provider Robert L Levine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609060672Provider TypeIndividualFull NameLevine, Robert LCredentialDMDGenderMaleSole ProprietorYesEnumeration Date8/31/2007Last Updated10/4/2007Contact InformationPractice LocationPractice Address4453 Clairemont Mesa Blvd, San Diego, CA 92117Phone(858) 274-2500Fax(858) 274-2522Mailing LocationMailing Address8861 Villa Jolla Dr, Ste 501, La Jolla, CA 92037Phone(858) 455-7200Fax(858) 455-7205Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense39678CaliforniaCode1223G0001XDescriptionDentistDental ProvidersLicense39678California