Botros, Issa M

Botros, Issa M is an individual health care provider with primary practice located at 1499 W 1St St , San Pedro CA 90732-3255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Botros, Issa M can be contacted via phone (310) 241-2590.

Contact Information

Primary practice address
1499 W 1St St San Pedro CA 90732-3255
Phone: (310) 241-2590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 4301090843 Michigan
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A106987 California

Profile Details

NPI number 1124227772
LBN Legal business name Botros, Issa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Nov 30th, 2021 - about 4 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.

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