Most Relevant Information
Provider Data
| NPI Number: | 1003817883 |
| Provider Name: | SUSAN EGLICK LEVY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | G29332 |
Most Important Dates
| Enumeration Date: | 08/03/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1600 SAN FERNANDO RD
SAN FERNANDO
CA
913403115
Practice Location Phone/Fax
| Phone: | 8183658086 |
| Fax: | 8188984826 |
Provider Mailing Location
1172 N MACLAY AVE
SAN FERNANDO
CA
913401328
Provider Mailing Phone/Fax
| Phone: | 8188981388 |
| Fax: | 8183654031 |
Suggested EMR
Pediatrics EMR