Roxas-Butlig, Evangeline Gidaya
Roxas-Butlig, Evangeline Gidaya is an sole proprietor health care provider with primary practice located at 1727 Crenshaw Blvd , Torrance CA 90501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roxas-Butlig, Evangeline Gidaya can be contacted via phone (310) 373-7855.Contact Information
Primary practice address
1727 Crenshaw Blvd
Torrance CA 90501
Phone: (310) 373-7855
Fax: (424) 704-2493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | AA78060 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A78060 | California |
Profile Details
| NPI number | 1003877531 |
|---|---|
| LBN Legal business name | Roxas-Butlig, Evangeline Gidaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Apr 14th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003877531 | NPPES |
| California | MEDICAID | A78060 |
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