ELLYN LEVINE MD INC. NPI 1386072163

NPI Information

  • NPI: 1386072163
  • Provider Name: ELLYN LEVINE, MD, INC.
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 5290 BALTIMORE DR
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 567-6914

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NPI Details

ELLYN LEVINE, MD, INC. is a health service clinic center in La Mesa, CA. ELLYN LEVINE, MD, INC. NPI is 1386072163. The provider is registered as an organization entity type.

The provider's business location address is:

5290 BALTIMORE DR
LA MESA, CA
ZIP 91942-080
Phone: (619) 567-6914
Fax: (619) 567-8228

The provider's authorized official is Ellyn Levine .
The authorized official title is Incorporator and has the following contact phone number (858) 663-1671.

The enumeration date for this NPI number is 10/14/2013 and was last updated on 5/31/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceG86297CALIFORNIAYes

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: 11/21/2025

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