Individual
DR. JOSE BOTOR REGULLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 W BEVERLY BLVD, SUITE 202, MONTEBELLO, CA 90640-3951
(323) 888-2058
(323) 722-9238
Mailing address
2101 W BEVERLY BLVD, SUITE 202, MONTEBELLO, CA 90640-3951
(323) 888-2058
(323) 722-9238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A41468
CA
208000000X
Pediatrics Physician
Primary
A41468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOA414680
—
CA
Enumeration date
09/26/2006
Last updated
11/21/2011
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