OrganizationActive
Bruce D. Levine, D.P.M., Professional Corporation
NPI 1891176616 · Non-Pharmacy Dispensing Site · San Pedro, CA
Provider details
- NPI number
- 1891176616
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Bruce D. Levine, D.P.M., Professional Corporation
- Organization subpart
- Yes
- Authorized official
- Bruce Levine, Owner(310) 548-1191
- License
- E3485 (CA)
Specialties & taxonomies
Suppliers
Practice location
1360 W 6th St
Suite 150, West Building
San Pedro, CA 90732-3514
Phone: (310) 548-1191
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Other names (DBA / former)
- Doing business as
- Harbor Foot & Ankle Podiatric Medical Group
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2015-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.