Carmen Botero, Md in Tarzana - Pediatric Critical Care Medicine
Carmen Botero, Md - NPI 1063631802
Carmen Botero, Md is a Pediatric Critical Care Medicine in Tarzana, California. Carmen Botero, Md practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Carmen Botero, Md is 1063631802. The last update date is 2020-08-22.
Carmen Botero, Md's current location address is 18321 Clark St, Tarzana, California. You can contact this provider via phone number 2086769080. The mailing address for Carmen Botero, Md is 18321 Clark St, Tarzana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carmen Botero, Md |
|---|---|
| Address | 18321 Clark St, Tarzana, California |
| Phone Number | 2086769080 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Hale Karen |
| Telephone Number | 2087626836 |
NPI Number Detail
| NPI Number | 1063631802 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 18321 Clark St |
|---|---|
| City | Tarzana |
| State | California (CA) |
| Post Code | 913563501 |
| Phone Number | 2086769080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | A47742 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A477420 | CA | -- | |
| ZZZ01458Z | CA | BLUE SHIELD OF CALIFORNIA |
Post Comment/ Review Below
What is the Carmen Botero, Md's 1063631802?
The Carmen Botero, Md's NPI (National Provider Identifier) Number is 1063631802. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carmen Botero, Md's physical address?
The Carmen Botero, Md is physically located at 18321 Clark St, in the city of Tarzana, CA, with the postal code 913563501.
What is the area of specialization for Carmen Botero, Md, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carmen Botero, Md is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063631802 to Carmen Botero, Md?
The Centers for Medicare & Medicaid Services assigned the 1063631802 to Carmen Botero, Md on 2007-04-24.
When was the information regarding Carmen Botero, Md most recently updated?
The details pertaining to the Carmen Botero, Md, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.