# RONALD J. BOTELHO, MD, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336471085
- **Authorized official:** DR. RONALD J BOTELHO M.D. (PRESIDENT)
- **Authorized official phone:** (707) 569-3230

## Contact information

- **Practice address:** 1221 FARMERS LN, SUITE 500, SANTA ROSA, CA 95405-6712
- **Practice address phone:** (707) 569-3230
- **Practice address fax:** (707) 523-0119
- **Mailing address:** PO BOX 14578, SANTA ROSA, CA 95402-6578
- **Mailing address phone:** (707) 569-3230
- **Mailing address fax:** (707) 523-0119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G53308 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2010
- **Last updated:** 07/15/2015