Mariam P Butler
Medical Specialty
Professional ID
- NPI: 1760687933
- PECOS ID: 2769665694
- Enrollment ID: I20110330000348
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2006
Medical Practices
- Organization Name: Southern California Permanente Medical Group
- Group Practice ID assigned by PECOS: 6002729175
- Number of Group Practice member: 8102
Location
- Address1: 15446 S Western Ave
- Address2:
- City: Gardena
- State: California
- Zip Code: 90249
- Phone Number: (310)217-5300
Location
- Address1: 25821 Vermont Ave
- Address2:
- City: Harbor City
- State: California
- Zip Code: 90710
- Phone Number: (310)325-5111
Location
- Address1: 25825 Vermont Ave
- Address2:
- City: Harbor City
- State: California
- Zip Code: 90710
- Phone Number: (310)325-5111
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):