OrganizationActive
: Mark David Levine, M.D. Professional Corporation
NPI 1407119571 · Psychiatry Physician · Manteca, CA
Provider details
- NPI number
- 1407119571
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mark Levine, President/Ceo
Practice location
302 Cherry Ln
Ste 208
Manteca, CA 95337-4311
Phone: (209) 823-2246
Fax: (209) 823-2251
Mailing address
2081 Arena Blvd
Sacramento, CA 95834-2309
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2013-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.