Bruce D. Levine, D.p.m., Professional Corporation

NPI #1891176616 in San Pedro, California

Provider Information

NPI Number
1891176616
Entity Type
Organization
Organization Name
Bruce D. Levine, D.p.m., Professional Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jun 17, 2015
Last Updated
Oct 5, 2015

Practice Location

Address
1360 W 6TH ST
Address 2
SUITE 150, WEST BUILDING
ZIP Code
90732-3514
Phone
(310) 548-1191

Authorized Official

Name
BRUCE D. LEVINE, DPM
Title
OWNER
Phone
(310) 548-1191

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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