Individual
MANUEL M BUITRAGO BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, PH.D.
Contact information
Practice address
757 WESTWOOD PLZ, UCLA MEDICAL CENTER, DEPARTMENT OF NEUROSURGERY, RRMC-6236, LOS ANGELES, CA 90095
(310) 267-9448
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
A122210
CA
2084N0400X
Neurology Physician
A122210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033386537
MEDI CAL
CA
Enumeration date
05/13/2008
Last updated
01/15/2020
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