Carmen Botero, Md

LBN: Carmen Botero, Md
Carmen Botero, Md is an health care organization with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Cardiology is the primary health care specialty. Carmen Botero, Md can be contacted via phone (208) 676-9080, or through Hale, Karen via phone (208) 762-6836.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (208) 676-9080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hale, Karen
Phone: (208) 762-6836

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A47742 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A47742 California

Profile Details

NPI number 1063631802
LBN Legal business name Carmen Botero, Md
DBA Doing business as
Authorized official Hale, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063631802 NPPES
California MEDICAID 00A477420
California Other ZZZ01458Z

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