Organization
BOTKISS CENTER FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP HENRI BOTKISS M.D. (OWNER)
(619) 291-7100
Entity
Organization
Contact information
Practice address
12625 HIGH BLUFF DR STE 301, SAN DIEGO, CA 92130-2054
(619) 291-7100
(619) 295-5044
Mailing address
12625 HIGH BLUFF DR STE 301, SAN DIEGO, CA 92130-2054
(619) 294-4119
(619) 295-5044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881777803
PERSONAL NPI
CA
Enumeration date
10/28/2019
Last updated
10/28/2019
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