Botros, Nancy

Botros, Nancy is an sole proprietor health care provider with primary practice located at 440 N Mountain Suite 112, Upland CA 91786. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Botros, Nancy can be contacted via phone (909) 931-1313.

Contact Information

Primary practice address
440 N Mountain Suite 112 Upland CA 91786
Fax: (909) 920-3883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A045610 California

Profile Details

NPI number 1134179401
LBN Legal business name Botros, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Oct 10th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134179401 NPPES
California Other 00A456100 MEDI CAL

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