Provider Demographics
NPI:1851943443
Name:LEVITT, STEVEN DENNIS
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:DENNIS
Last Name:LEVITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 ENCINITAS BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4359
Mailing Address - Country:US
Mailing Address - Phone:760-809-8885
Mailing Address - Fax:
Practice Address - Street 1:2210 ENCINITAS BLVD STE E
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4359
Practice Address - Country:US
Practice Address - Phone:760-809-8885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2340171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist