Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellyn Levine, MD, Inc

Organization Health Service Clinic/Center · NPI 1386072163

Ellyn Levine, MD, Inc is a Health Service Clinic/Center in LA Mesa, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5290 Baltimore Dr
LA Mesa, CA 91942-2080
Phone: (619) 567-6914
Fax: (619) 567-8228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence G86297 (CA)

Record details

NPI number1386072163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellyn Levine — Incorporator · (858) 663-1671
NPI enumeratedOctober 14, 2013
Last updated in NPPESMay 31, 2016
Mailing address3830 Valley Centre Dr # 705-306, San Diego, CA 92130-3320

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