Organization
BUTANI DERMATOLOGY INC
Active
Organization
BUTANI DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJALI BUTANI M.D. (PRESIDENT)
(213) 620-7600
Entity
Organization
Contact information
Practice address
170 S MAIN ST, SUITE 200, ORANGE, CA 92868-2801
(213) 620-7600
Mailing address
255 S GRAND AVE APT 2403, LOS ANGELES, CA 90012-3047
(213) 620-7600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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