Carmen Botero, Md

NPI 1063631802 - Pediatrics - 2080P0202X

NPI Details
NPI 1063631802
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KAREN KAREN
Position BUSINESS OFFICE MANAGER
Phone (208) 676-9080
Fax
Practice Location
18321 CLARK ST
TARZANA CA, 91356-3501, US
Phone (208) 676-9080
Fax
Business Location
PO BOX 570587
TARZANA CA, 91357-0587, US
Phone
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State California
License Number A47742
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According to our database, Carmen Botero, Md NPI is 1063631802, taxonomy code is 2080P0202X and license number is A47742, license state is located at California. Carmen Botero, Md physically located at 18321 Clark St, Tarzana CA, 91356-3501. NPI Number 1033115704 has the healthcare provider type.

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1063631802 NPI number is provided on an as is basis without warranty of any kind. 1063631802 is maintained by the National Plan & Provider Enumeration System. The contents of Carmen Botero, Md are for informational purposes only.