Fred Levine, M.D., Ph.D.
Medical Genetics, Clinical Genetics (M.D.) in San Diego, CA. Individual provider (NPI-1).
NPI number1154493476
StatusActive
Last updated in NPPESMay 9, 2014
Details
- NPI
- 1154493476
- Entity type
- Individual (NPI-1)
- Name
- Fred Levine
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- May 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207SG0201X | Medical Genetics, Clinical Genetics (M.D.) | G65341 | CA | Yes |
| 207SG0202X | Medical Genetics, Clinical Biochemical Genetics | G65341 | CA |
Practice location
7910 Frost StSte 200
San Diego, CA 92123-2771
Phone 619-543-7800
Mailing address
3020 Childrens WayMc5110
San Diego, CA 92123-4223
Phone 619-543-7800
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