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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003877531 NPPES
California MEDICAID A78060

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