| Buttelman Medical Corporation | |
|
17075 Devonshire St Ste 209 Northridge CA 91325-5411 | |
| (818) 832-7802 | |
| (818) 832-7805 |
| Full Name | Buttelman Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 17075 Devonshire St Ste 209, Northridge, California |
| Authorized Official Name and Position | Christopher Robert Buttelman (PHYSIAN/OWNER) |
| Authorized Official Contact | 8188327802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buttelman Medical Corporation 17075 Devonshire St Ste 209 Northridge CA 91325-5411 Ph: (818) 832-7802 | Buttelman Medical Corporation 17075 Devonshire St Ste 209 Northridge CA 91325-5411 Ph: (818) 832-7802 |
| NPI Number | 1093723595 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 12/11/2017 |
| Medicare PECOS PAC ID | 7719968247 |
|---|---|
| Medicare Enrollment ID | O20040528000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093723595 | NPI | - | NPPES |
| 00A478640 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A47864 (California) | Primary |
| Provider Name | Christopher R Buttelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437128840 PECOS PAC ID: 2062493596 Enrollment ID: I20040601000918 |
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