Individual provider · Type 1 NPI
Issa M. Botros, MD
Adult Medicine Physician · San Pedro, CA
NPI number
1124227772
Active
Practice location
1499 W 1st St
San Pedro, CA 90732-3255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician | 207QA0505X | 4301090843 (MI) |
| Adult Medicine Physician Primary | 207QA0505X | A106987 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
5 other providers at this address
- Angel George Angelow, MDFamily Medicine Physician San Pedro, CA NPI 1598711319
- Crescenzo Pisano, MDInternal Medicine Physician San Pedro, CA NPI 1144336769
- Lawrence Bruce Greenberg, MDFamily Medicine Physician San Pedro, CA NPI 1043348436
- Mostafa S. Rahimi, MDFamily Medicine Physician San Pedro, CA NPI 1881687309
- Olga M. Calof, MDEndocrinology, Diabetes & Metabolism Physician San Pedro, CA NPI 1386667723
About NPI 1124227772
Issa M. Botros, MD's National Provider Identifier is 1124227772, issued on Jul 13, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in San Pedro, CA. The record was last updated on Nov 30, 2021.