Provider Demographics
NPI:1396045670
Name:DEBRA A LEVINSKY, M.D., P.C.
Entity Type:Organization
Organization Name:DEBRA A LEVINSKY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-283-5800
Mailing Address - Street 1:895 MORAGA RD STE 11
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5039
Mailing Address - Country:US
Mailing Address - Phone:925-283-5800
Mailing Address - Fax:925-284-8115
Practice Address - Street 1:895 MORAGA RD STE 11
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5039
Practice Address - Country:US
Practice Address - Phone:925-283-5800
Practice Address - Fax:925-284-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37684174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G376840Medicare UPIN