Individual
NADER GAMIL BOUTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4445 MAGNOLIA AVE., GME OFFICE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
4445 MAGNOLIA AVE., GME OFFICE, RIVERSIDE, CA 92501-4135
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A180657
CA
208D00000X
General Practice Physician
A180657
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2019
Last updated
08/03/2022
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