Provider Demographics
NPI:1871604496
Name:CIFUENTES-BUTLER, MARIA ESPERANZA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ESPERANZA
Last Name:CIFUENTES-BUTLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5823 YORK BLVD
Mailing Address - Street 2:#1
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-2634
Mailing Address - Country:US
Mailing Address - Phone:323-255-3437
Mailing Address - Fax:
Practice Address - Street 1:1701 E CESAR CHAVEZ AVE
Practice Address - Street 2:SUITE #230
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2464
Practice Address - Country:US
Practice Address - Phone:323-226-1100
Practice Address - Fax:323-226-1101
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA92136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A921360OtherBLUE SHIELD
GAP00379478OtherMEDICARE RAILROAD
CA00A921360Medicaid
CAI71153Medicare UPIN
CAWA92136BMedicare PIN