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Bruce D. Levine, D.p.m., Professional Corporation
Non-Pharmacy Dispensing Site in San Pedro, California
NPI 1891176616

Bruce D. Levine, D.p.m., Professional Corporation is a Non-Pharmacy Dispensing Site based in Los Angeles, CA. Bruce D. Levine, D.p.m., Professional Corporation practices in San Pedro, CA. The NPI Number for Bruce D. Levine, D.p.m., Professional Corporation is 1891176616 and holds a License No. E3485 (California).

The current practice location address for Bruce D. Levine, D.p.m., Professional Corporation is 1360 W 6Th St, San Pedro, CA and can be reached out via phone at 310-548-1191.

Location: 1360 W 6Th St, San Pedro, CA, 90077-1726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891176616
Provider Name
Bruce D. Levine, D.p.m., Professional Corporation
Credential
Provider Entity Type
Organization
Address
1360 W 6Th St, San Pedro, CA, 90077-1726
Phone Number
310-548-1191
Fax Number
Provider Enumeration Date
06/17/2015
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1360 W 6Th St
City
San Pedro
State
California
Zip
90732-3514
Phone Number
310-548-1191
Fax Number
person
Provider Business Mailing Address Details
Address
1360 W 6Th St
City
San Pedro
State
California
Zip
90732-3514
Phone Number
310-548-1191
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
E3485 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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