Individual
DR. ISSA M BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1499 W 1ST ST, SAN PEDRO, CA 90732-3255
(310) 241-2590
Mailing address
1499 W 1ST ST, SAN PEDRO, CA 90732-3255
(310) 241-2590
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
4301090843
MI
207QA0505X
Adult Medicine Physician
Primary
A106987
CA
Other
Enumeration date
07/13/2007
Last updated
11/30/2021
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