Beverly Susan Botnick in Pomona - Internal Medicine
Beverly Susan Botnick - NPI 1790754455
Beverly Susan Botnick is a Internal Medicine in Pomona, California. Beverly Susan Botnick practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Beverly Susan Botnick is 1790754455. The last update date is 2011-05-04.
Beverly Susan Botnick's current location address is 840 Towne Center Dr, Pomona, California. You can contact this provider via phone number 9093981550 and fax number 9093981573. The mailing address for Beverly Susan Botnick is 840 Towne Center Dr, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Susan Botnick |
|---|---|
| Address | 840 Towne Center Dr, Pomona, California |
| Phone Number | 9093981550 |
| Fax Number | 9093981573 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790754455 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2011-05-04 |
Provider Mailing Address Detail
| Address | 840 Towne Center Dr |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917675900 |
| Phone Number | 9093981550 |
| Fax Number | 9093981573 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A49720 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A497200 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Beverly Susan Botnick by the Centers for Medicare & Medicaid Services?
The Beverly Susan Botnick has been issued the NPI (National Provider Identifier) 1790754455. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Beverly Susan Botnick?
The Beverly Susan Botnick is situated at 840 Towne Center Dr, in the city of Pomona, state of CA, with the zip code 917675900.
What is Beverly Susan Botnick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beverly Susan Botnick is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Beverly Susan Botnick receive its 1790754455 assignment from the Centers for Medicare & Medicaid Services?
The Beverly Susan Botnick was assigned its 1790754455 by the Centers for Medicare & Medicaid Services on 2006-03-15.
When was the Beverly Susan Botnick's information last updated?
The Beverly Susan Botnick's information was last updated on 2011-05-04.
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