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BRUCE D. LEVINE D.P.M. PROFESSIONAL CORPORATION NPI 1891176616


NPI Information

NPI: 1891176616
Provider Name: BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION

Doing Business As: HARBOR FOOT & ANKLE PODIATRIC MEDICAL GROUP

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1360 W 6TH ST
SUITE 150, WEST BUILDING
SAN PEDRO, CA
ZIP 90732
Phone: (310) 548-1191
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BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION is a non pharmacy dispensing site in San Pedro, CA. The provider is 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.) BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION NPI is 1891176616. The provider is registered as an organization entity type.
The provider Is Doing Business As Harbor Foot & Ankle Podiatric Medical Group.

The provider's business location address is:

1360 W 6TH ST
SUITE 150, WEST BUILDING
SAN PEDRO, CA
ZIP 90732-514
Phone: (310) 548-1191

The provider's authorized official is Bruce D. Levine .
The authorized official title is Owner and has the following contact phone number (310) 548-1191.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 10/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteE3485CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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