Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Alan Harvey Leventhal | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Alan | [sources] | |||
Last name | Leventhal | [sources] | |||
Middle name | Harvey | [sources] | |||
NPI | 1669409710 | [sources] | |||
Registration number | OPT 6075 · SD0060750 · SD0060751 · SD0060752 · SD0060753 · | [sources] | |||
Sector | Other | [sources] | |||
Address | 3200 Paseo Village Way, No. 2305, San Diego, CA, 92130 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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