Individual
DR. CARLOS M. BOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 OFARRELL ST, SAN FRANCISCO, CA 94115-3357
(415) 833-4281
(415) 833-4481
Mailing address
2200 OFARRELL ST, SAN FRANCISCO, CA 94115-3357
(415) 833-4281
(415) 833-4481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A52713
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A52713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527130
—
CA
Enumeration date
06/10/2006
Last updated
12/02/2021
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