MARC I BOTNICK MD
Individual Provider (NPI-1)
Active
Specialist
Provider Information
- NPI Number
1033192844- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 18133 VENTURA BLVD STE 102, TARZANA, CA, 913563641
- Phone
- (424) 314-7695
- Fax
- (424) 314-7699
Specialties & Taxonomies
Specialist
License: CA #A72882
Unknown
Primary License: CA #A72882
All Addresses
MAILING
4140 W 190TH ST
TORRANCE, CA, 905045513