IndividualActive
Anthony Butch, PHD
NPI 1972045110 · Clinical Laboratory Director (Non-physician) · Los Angeles, CA
Provider details
- NPI number
- 1972045110
- Entity type
- Individual
- Primary specialty
- Clinical Laboratory Director (Non-physician)Technologists, Technicians & Other Technical Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DRH 091 (CA)
Practice location
2122 Granville Ave
Los Angeles, CA 90095-6106
Phone: (310) 312-1509
Fax: (310) 206-9077
Mailing address
2122 Granville Ave
Los Angeles, CA 90095-6106
Registry dates
- Enumerated
- 2016-11-04
- Last updated
- 2016-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.