Botello, Loretta

Botello, Loretta is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Ste 200 Pacoima, Pacoima CA 91331-1393. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Botello, Loretta can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Ste 200 Pacoima Pacoima CA 91331-1393
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992130199
LBN Legal business name Botello, Loretta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2013
Last updated Sep 18th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992130199 NPPES
California MEDICAID 6758
California MEDICAID 7068
California MEDICAID 7420

Popular Providers