Bott, Allen David
Bott, Allen David is an individual health care provider with primary practice located at 3120 Webster St , Oakland CA 94609-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Bott, Allen David can be contacted via phone (510) 834-1813.Contact Information
Primary practice address
3120 Webster St
Oakland CA 94609-3421
Phone: (510) 834-1813
Fax: (510) 834-9221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | G27329 | California |
Profile Details
| NPI number | 1770577652 |
|---|---|
| LBN Legal business name | Bott, Allen David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1770577652 | NPPES |
| California | MEDICAID | 00G273290 |
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