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Phillip Levine,M.D A Medical Corp

Internal Medicine

Allopathic & Osteopathic Physicians

8631 W 3rd St, #815e, Los Angeles, CA 90048-5901

PECOS Enrollment

Based on the most recent information from CMS, provider Phillip Levine,M.D A Medical Corp does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1881875433
Provider Type
Organization
Full Name
Phillip Levine,M.D A Medical Corp

Subpart
No
Enumeration Date
11/23/2007
Last Updated
11/12/2008

Contact Information

Practice Location

8631 W 3rd St, #815e, Los Angeles, CA 90048-5901

(310) 657-3145

Unlisted Fax

Mailing Location

8631 W 3rd St, #815e, Los Angeles, CA 90048-5901

(310) 657-3145

Unlisted Fax

Authorized Official

Levine, Phillip (Ceo)

(310) 657-3145

Provider Taxonomies

Code	Description	License
Code 207RC0000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G35171 California

Phillip Levine,M.D A Medical Corp

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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