Individual
NIRAJ BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MED PLAZA, #365, 420, 120, LOS ANGELES, CA 90024-0001
(310) 794-1276
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A147264
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
12/01/2021
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