Organization
EVANGELINE G ROXAS-BUTLIG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANGELINE GIDAYA ROXAS-BUTLIG MD (PRESIDENT)
(310) 373-7855
Entity
Organization
Contact information
Practice address
1727 CRENSHAW BLVD, TORRANCE, CA 90501
(310) 373-7855
(424) 704-2493
Mailing address
1727 CRENSHAW BLVD, TORRANCE, CA 90501
(310) 373-7855
(424) 704-2493
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A78060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A78060
CALIFORNIA LICENSE
CA
Enumeration date
11/30/2009
Last updated
04/16/2021
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