Hydra Health Centers

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A73853 Issued in CA

Legal business name

HYDRA HEALTH CENTERS

Practice address

400 Continental Blvd
Ste 600
El Segundo, CA 90245-5076

Phone

(818) 749-4778

NPI assigned

Dec 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frederick Butler II, MD

Title

President

Phone

(818) 749-4778

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1316335334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 ANTIOCH ST",
            "address_2": "SUITE: 820",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723628",
            "telephone_number": "818-749-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONTINENTAL BLVD",
            "address_2": "STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455076",
            "telephone_number": "818-749-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRA HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-749-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Hwang
• Crystal Hwang, NONE
• Juliana Hwang
• Seoyoon Hwang
• Eddie Hyatt, M.D.
• Hygia Care, Inc.
• Emily Kay Hyry
• Maria Isabel Ibardolaza, AGNP-C
• Mayra Ibarra
• Yesenia Ibarra

• Internal Medicine Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.