MEDICARE: DR. CHRISTOPHER ROBERT BUTTELMAN MD

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	A47864	CA

General Provider Information

NPI Number	:	1437128840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ROBERT BUTTELMAN MD

Provider Business Mailing Address
First Line	:	17075 DEVONSHIRE ST
Second Line	:	#209
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-1600
Country	:	US
Telephone Number	:	818-832-7802
Fax Number	:	818-832-7805

Provider Business Practice Location Address
First Line	:	17075 DEVONSHIRE ST
Second Line	:	#209
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-1600
Country	:	US
Telephone Number	:	818-832-7802
Fax Number	:	818-832-7805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	12/11/2017

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