Issa M Botros is a Adult Medicine in San Pedro, California. Issa M Botros practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Issa M Botros is 1124227772. The last update date is 2021-11-30.
Issa M Botros's current location address is 1499 W 1st St, San Pedro, California. You can contact this provider via phone number 3102412590. The mailing address for Issa M Botros is 1499 W 1st St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Issa M Botros |
|---|---|
| Address | 1499 W 1st St, San Pedro, California |
| Phone Number | 3102412590 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124227772 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 1499 W 1st St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323255 |
| Phone Number | 3102412590 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 4301090843 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Issa M Botros?
The Issa M Botros has been issued the NPI (National Provider Identifier) 1124227772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Issa M Botros's facilities are geographically located?
The facilities of Issa M Botros are physically situated at the following location: 1499 W 1St St, San Pedro, CA, 907323255.
What is Issa M Botros's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Issa M Botros is Adult Medicine, and the taxonomy code that classifies this field of practice is 207Qa0505X.
On what date did the Issa M Botros receive its 1124227772 assignment from the Centers for Medicare & Medicaid Services?
The Issa M Botros was assigned its 1124227772 by the Centers for Medicare & Medicaid Services on 2007-07-13.
As of what date were the details pertaining to Issa M Botros last refreshed?
The information related to the Issa M Botros, including its address, specialty, and other relevant details, was last updated on 2021-11-30.
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