Individual
DANIEL PATRICK DEBOTTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 S MAIN ST, STE 200, ORANGE, CA 92868-3852
(714) 634-4567
Mailing address
280 S MAIN ST, STE 200, ORANGE, CA 92868-3852
(714) 634-4567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A126199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB239349
MEDICARE PTAN
CA
Enumeration date
07/09/2008
Last updated
02/09/2018
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