Individual provider · Type 1 NPI

Loretta Botello

Student in an Organized Health Care Education/Training Program · Pacoima, CA

NPI number 1992130199 Active

Practice location

12450 Van Nuys Blvd Ste 200, Pacoima
Pacoima, CA 91331-1393

Call (818) 896-1161 Map

Fax (818) 896-5069

Mailing address

281 N Madison Ave Apt 426, Pasadena
Pasadena, CA 91101-4467

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992130199

Loretta Botello's National Provider Identifier is 1992130199, issued on Sep 6, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pacoima, CA. The record was last updated on Sep 18, 2013.