Provider Demographics
NPI:1437706124
Name:RONALD M LEVIN MD INC
Entity Type:Organization
Organization Name:RONALD M LEVIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:MALCOLM
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-382-5689
Mailing Address - Street 1:8158 SANTALUZ VILLAGE GRN N
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-2520
Mailing Address - Country:US
Mailing Address - Phone:858-382-5689
Mailing Address - Fax:
Practice Address - Street 1:8881 FLETCHER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3128
Practice Address - Country:US
Practice Address - Phone:619-698-0930
Practice Address - Fax:619-698-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty