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
- City
- San Pedro
- State
- California
- 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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