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Organization
SOUTHERN CALIFORNIA HEAD & NECK MEDICAL GROUP
Active
Organization
SOUTHERN CALIFORNIA HEAD & NECK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL BUTLER M.D. (PARTNER)
(310) 829-7792
Entity
Organization
Contact information
Practice address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 829-7792
(310) 829-4136
Mailing address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 829-7792
(310) 829-4136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G26964
CA
Other
Enumeration date
08/09/2006
Last updated
03/07/2016
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