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Ellyn Levine, Md, Inc.
Health Service Clinic/Center in La Mesa, California
NPI 1386072163

Ellyn Levine, Md, Inc. is a Health Service Clinic/Center based in San Diego, CA and is specialized in Health Service. Ellyn Levine, Md, Inc. practices in La Mesa, CA. The NPI Number for Ellyn Levine, Md, Inc. is 1386072163 and holds a License No. G86297 (California).

The current practice location address for Ellyn Levine, Md, Inc. is 5290 Baltimore Dr, La Mesa, CA and can be reached out via phone at 619-567-6914 and via fax at 619-567-8228.

Location: 5290 Baltimore Dr, La Mesa, CA, 92130-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386072163
Provider Name
Ellyn Levine, Md, Inc.
Credential
Provider Entity Type
Organization
Address
5290 Baltimore Dr, La Mesa, CA, 92130-3320
Phone Number
619-567-6914
Fax Number
619-567-8228
Provider Enumeration Date
10/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5290 Baltimore Dr
City
La Mesa
State
California
Zip
91942-2080
Phone Number
619-567-6914
Fax Number
619-567-8228
person
Provider Business Mailing Address Details
Address
5290 Baltimore Dr
City
La Mesa
State
California
Zip
91942-2080
Phone Number
619-567-6914
Fax Number
619-567-8228
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
G86297 (California)
Definition
Definition to come...
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