Individual provider · Type 1 NPI

Jonathan D. Botts, MD

Specialist · Sherman Oaks, CA

NPI number 1457506347 Active

Practice location

4955 Van Nuys Blvd, Suite 615
Sherman Oaks, CA 91403-1801

Fax (818) 905-8702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Specialist Primary 174400000XA 117042 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1457506347

Jonathan D. Botts, MD's National Provider Identifier is 1457506347, issued on Nov 19, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sherman Oaks, CA. The record was last updated on Aug 2, 2012.