Individual provider · Type 1 NPI

Tae Leon Butler

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1245096940 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-0001

Call (310) 267-9124 Map

Mailing address

885 Tiverton Drive
Los Angeles, CA 90095-0001

Other practice locations

  • 885 Tiverton Drive, Los Angeles, CA 90095-0001 · (310) 825-6373

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X16386 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1,270 other providers at this address

Other student in an organized health care education/training program providers in Los Angeles

See all in Los Angeles →

About NPI 1245096940

Tae Leon Butler's National Provider Identifier is 1245096940, issued on Feb 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 8, 2025.