Individual
LESLIE E BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5522 SEPULVEDA BLVD, SHERMAN OAKS, CA 91411-3437
(818) 997-1522
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G37645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G376450
—
CA
01
—
449778
SWEDISH MEDICARE
CO
01
—
654518
SWEDISH MEDICAID
CO
01
—
WG37645A
PSJ MEDICARE
CA
01
—
WG37645D
HC MEDICARE
CA
01
—
WG37645G
SJHC MEDICARE
CA
01
—
WG37645K
SJO MEDICARE
CA
Enumeration date
07/07/2005
Last updated
11/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us