Provider Demographics
NPI:1083988190
Name:LEVIN, STEVEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:LEVIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22349 ALGUNAS RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-5002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22349 ALGUNAS RD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-5002
Practice Address - Country:US
Practice Address - Phone:818-336-1662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA46443OtherPHARMACIST LICENSE
NV11563OtherPHARMACIST LICENSE
CA46443OtherPHARMACIST LICENSE
MD22295OtherPHARMACIST LICENSE
TN38189OtherPHARMACIST LICENSE
LAPIC.020926OtherPHARMACIST LICENSE
OR14640OtherPHARMACIST LICENSE
AZS020367OtherPHARMACIST LICENSE
OK16850OtherPHARMACIST LICENSE