Provider Demographics
NPI:1639237118
Name:LEVIN, ROBERT BENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BENNETT
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1340 MUNRAS AVE.
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-372-0133
Mailing Address - Fax:831-624-7759
Practice Address - Street 1:1340 MUNRAS AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6140
Practice Address - Country:US
Practice Address - Phone:831-372-0133
Practice Address - Fax:831-624-7759
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG445872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G445870Medicare PIN
CAD72611Medicare UPIN