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LESLIE E BOTNICK M.D.

Individual Provider (NPI-1) Active

Provider Information

NPI Number
1275530917
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
5522 SEPULVEDA BLVD, SHERMAN OAKS, CA, 914113437
Phone
(818) 997-1522

Specialties & Taxonomies

Unknown Primary License: CA #G37645

All Addresses

LOCATION

5522 SEPULVEDA BLVD

SHERMAN OAKS, CA, 914113437

(818) 997-1522

MAILING

PO BOX 512185

LOS ANGELES, CA, 900510185