Provider Demographics
NPI:1336346204
Name:LEVIN, MARTIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:E
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5705 FRIARS RD UNIT 66
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-1817
Mailing Address - Country:US
Mailing Address - Phone:760-550-2698
Mailing Address - Fax:760-348-6032
Practice Address - Street 1:7018 BLAIR RD
Practice Address - Street 2:
Practice Address - City:CALIPATRIA
Practice Address - State:CA
Practice Address - Zip Code:92233-9633
Practice Address - Country:US
Practice Address - Phone:760-348-6009
Practice Address - Fax:760-348-7169
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG27001207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology