| Richard M Butlig Md Inc | |
|
1727 Crenshaw Blvd Torrance CA 90501 | |
| (310) 373-7855 | |
| (424) 704-2493 |
| Full Name | Richard M Butlig Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1727 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | Richard Montero Butlig (PRESIDENT) |
| Authorized Official Contact | 3103737855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M Butlig Md Inc 1727 Crenshaw Blvd Torrance CA 90501 Ph: (310) 373-7855 | Richard M Butlig Md Inc 1727 Crenshaw Blvd Torrance CA 90501 Ph: (310) 373-7855 |
| NPI Number | 1174787642 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 04/19/2021 |
| Medicare PECOS PAC ID | 1254472525 |
|---|---|
| Medicare Enrollment ID | O20100108000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174787642 | NPI | - | NPPES |
| A77702 | Other | CA | CALIFORNIA LICENSE |
| A77702 | Other | CA | CA LICENSE |
| A77702 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A77702 (California) | Primary |
| 208M00000X | Hospitalist | A77702 (California) | Secondary |
| Provider Name | Richard M Butlig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912968447 PECOS PAC ID: 9638147093 Enrollment ID: I20040922001258 |
| Provider Name | Quynh Chi T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548252786 PECOS PAC ID: 2264473743 Enrollment ID: I20050513000830 |
| Provider Name | Krystal M Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720241482 PECOS PAC ID: 6901098037 Enrollment ID: I20101007001253 |
| Provider Name | Leslie Ann R Espe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259558 PECOS PAC ID: 0042588162 Enrollment ID: I20170614001045 |
| Provider Name | Adrienne V Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891343505 PECOS PAC ID: 3577998566 Enrollment ID: I20200122000565 |
| Provider Name | Immaculate O Anebere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720697683 PECOS PAC ID: 6608296397 Enrollment ID: I20201019002347 |
| Provider Name | Stephanie K Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902533391 PECOS PAC ID: 2163896077 Enrollment ID: I20230316000166 |
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