Nina Levy, M.D., Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A83540 Issued in CA

Legal business name

NINA LEVY, M.D., PROFESSIONAL MEDICAL CORPORATION

Practice address

28047 Dorothy Dr
Suite 201
Agoura Hills, CA 91301-4925

Phone

(818) 879-7979

Fax

(818) 337-3043

NPI assigned

Jan 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nina Levy, M.D.

Title

President

Phone

(818) 879-7979

Specialties & licenses 1

Addresses

Other names 1

• MediWellness, Inc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1942570163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28047 DOROTHY DR",
            "address_2": "SUITE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014925",
            "telephone_number": "818-879-7979",
            "fax_number": "818-337-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28047 DOROTHY DR",
            "address_2": "SUITE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014925",
            "telephone_number": "818-879-7979",
            "fax_number": "818-337-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA LEVY, M.D., PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-879-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A83540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediWellness, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramin Aaron Naziri, DDS
• New Views Psychological Services
• Newlife Infusion Center
• Gary David Newquist, PH.D.
• Jennifer Rusnanto NG, NP
• Sherry Ann Norris, LMFT
• Numen Behavioral Health, LLC
• Eric Quintero Nunez, LMFT
• Nurses Choice Hospice Care Inc.
• Shannon A O'Connor, PSYD

• Primary Care Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.