MEDICARE: WESTSIDE MEDICAL EVALUATORS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A73853	CA

General Provider Information

NPI Number	:	1548666308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSIDE MEDICAL EVALUATORS

Provider Business Mailing Address
First Line	:	15332 ANTIOCH ST STE 820
Second Line	:	SUITE: 820
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-3628
Country	:	US
Telephone Number	:	310-919-6811
Fax Number	:	310-356-3203

Provider Business Practice Location Address
First Line	:	400 CONTINENTAL BLVD
Second Line	:	STE 600
City	:	EL SEGUNDO
State	:	CA
Zip	:	90245-5076
Country	:	US
Telephone Number	:	310-919-6811
Fax Number	:	310-356-3203

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FREDERICK BUTLER II
Credential	:	MD
Telephone Number	:	310-919-6811

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	11/06/2014

Similar Medicare Providers

1013113935 — DAVID WU M.D.
Practice Location Address:

400 CONTINENTAL BLVD # 6144
EL SEGUNDO, CA
90245-5076

Practice Phone: 310-507-9121
Practice Fax:

1316335334 — HYDRA HEALTH CENTERS
Practice Location Address:

400 CONTINENTAL BLVD , STE 600
EL SEGUNDO, CA
90245-5076

Practice Phone: 818-749-4778
Practice Fax:

1437620689 — NICOLE MARIE DESTEFANO BCBA
Practice Location Address:

400 CONTINENTAL BLVD STE 6035
EL SEGUNDO, CA
90245-5076

Practice Phone: 760-803-3717
Practice Fax:

1740843366 — CYSCODM GROUP, LLC
Practice Location Address:

400 CONTINENTAL BLVD STE 640
EL SEGUNDO, CA
90245-5076

Practice Phone: 747-238-2082
Practice Fax:

1447983119 — NICOLE M BRITTSAN LMFT,APCC
Practice Location Address:

400 CONTINENTAL BLVD
EL SEGUNDO, CA
90245-5076

Practice Phone: 310-648-0700
Practice Fax:

1912682840 — CHELSEA MARIE VIELHAUER MSW, LCSW
Practice Location Address:

400 CONTINENTAL BLVD
EL SEGUNDO, CA
90245-5076

Practice Phone: 310-648-0700
Practice Fax:

Directions to “WESTSIDE MEDICAL EVALUATORS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.