Individual
BEVERLY SUSAN BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
440 E HUNTINGTON DR STE 200, ARCADIA, CA 91006-3775
(626) 254-2293
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A49720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A497200
—
CA
Enumeration date
03/15/2006
Last updated
12/05/2025
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