Organization
DANIEL DEBOTTIS MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PATRICK DEBOTTIS MD (PRESIDENT)
(718) 938-0269
Entity
Organization
Contact information
Practice address
725 W LA VETA AVE, #260, ORANGE, CA 92868-4403
(718) 938-0269
Mailing address
725 W LA VETA AVE, #260, ORANGE, CA 92868-4403
(718) 938-0269
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A126199
CA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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