Individual
DR. BOTHYNA FAYED SEDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3650 SOUTH ST, SUITE 209, LAKEWOOD, CA 90712-1502
(562) 634-1254
Mailing address
3650 SOUTH ST, SUITE 209, LAKEWOOD, CA 90712-1502
(562) 634-1254
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A34882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A348820
—
CA
Enumeration date
09/27/2006
Last updated
07/08/2007
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