Bolotin, Ellen
Bolotin, Ellen is an individual health care provider with primary practice located at 1500 E Duarte Rd , Duarte CA 91010. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bolotin, Ellen can be contacted via phone (626) 359-8111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A54526 | California |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | A54526 | California |
Profile Details
| NPI number | 1730289471 |
|---|---|
| LBN Legal business name | Bolotin, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730289471 | NPPES |
| California | MEDICAID | 00A545260 |
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