Individual
CECILIA BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1537 W 49TH ST, LOS ANGELES, CA 90062-2451
(323) 296-1000
Mailing address
3870 CRENSHAW BLVD STE 207, LOS ANGELES, CA 90008-1815
(323) 290-5058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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