MARTIN D. LEVINE M.D. NPI 1669470860

NPI Information

NPI: 1669470860
Provider Name: MARTIN D. LEVINE, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC

PECOS Registration: Yes

Address:
6815 NOBLE AVE STE 105
VAN NUYS, CA
ZIP 91405
Phone: (818) 781-6684
Get Directions

Martin D. Levine, M.D. is a neurology psychiatry neurology in Van Nuys, CA with 54 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Martin D. Levine, M.D. NPI is 1669470860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1970

The provider's business location address is:

6815 NOBLE AVE STE 105
VAN NUYS, CA
ZIP 91405-514
Phone: (818) 781-6684

The NPI 1669470860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 10/11/2018.

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
1	174400000X	Specialist		G021066	CALIFORNIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	G21066	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G210660	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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