# DANIEL DEBOTTIS MD, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1396179032
- **Authorized official:** DR. DANIEL PATRICK DEBOTTIS MD (PRESIDENT)
- **Authorized official phone:** (718) 938-0269

## Contact information

- **Practice address:** 725 W LA VETA AVE, \#260, ORANGE, CA 92868-4403
- **Practice address phone:** (718) 938-0269
- **Mailing address:** 725 W LA VETA AVE, \#260, ORANGE, CA 92868-4403
- **Mailing address phone:** (718) 938-0269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A126199 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 08/29/2013