Provider Demographics
NPI:1568448108
Name:LEVY, PHILIP L (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:L
Last Name:LEVY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:77 SCRIPPS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6209
Mailing Address - Country:US
Mailing Address - Phone:916-920-2210
Mailing Address - Fax:916-920-5227
Practice Address - Street 1:77 SCRIPPS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6209
Practice Address - Country:US
Practice Address - Phone:916-920-2210
Practice Address - Fax:916-920-5227
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2010-03-04
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Provider Licenses
StateLicense IDTaxonomies
CA000G4830207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology