North Coast Faculty Medical Group

NPI #1033341292 in Kelseyville, California

Provider Information

NPI Number: 1033341292
Entity Type: Organization
Organization Name: North Coast Faculty Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Aug 20, 2009
Last Updated: Sep 4, 2009

Practice Location

Address: 4135 MAIN ST
City: Kelseyville
State: California
ZIP Code: 95451-8941
Phone: (707) 279-1888

Authorized Official

Name: DR. STEVEN E LEVENBERG, DO
Title: PRESIDENT
Phone: (707) 521-8879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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