Provider Demographics
NPI:1104936673
Name:LEVINE, ADIN HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:ADIN
Middle Name:HAROLD
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1001 GALAXY WAY
Mailing Address - Street 2:STE. 400
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5725
Mailing Address - Country:US
Mailing Address - Phone:626-447-0296
Mailing Address - Fax:626-447-6057
Practice Address - Street 1:444 E HUNTINGTON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-6203
Practice Address - Country:US
Practice Address - Phone:626-447-0296
Practice Address - Fax:626-447-6057
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2017-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG58301207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G583010Medicaid
CAWG58301Medicare PIN
CA00G583012Medicare PIN
CA00G583010Medicaid
CA00G583016Medicare PIN
CAA53394Medicare UPIN
CA00G583011Medicare PIN