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Marc I Botnick, MD
Radiation Oncology Physician in Tarzana, California
NPI 1033192844

Marc I Botnick is a Radiation Oncology Physician based in Torrance, CA and is specialized in Radiation Oncology. Marc I Botnick practices in Tarzana, CA and has the professional credentials of MD. The NPI Number for Marc I Botnick is 1033192844 and holds a License No. A72882 (California).

The current practice location address for Marc I Botnick is 18133 Ventura Blvd Ste 102, Tarzana, CA and can be reached out via phone at 424-314-7695 and via fax at 424-314-7699.

Location: 18133 Ventura Blvd Ste 102, Tarzana, CA, 90504-5513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033192844
Provider Name
Marc I Botnick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18133 Ventura Blvd Ste 102, Tarzana, CA, 90504-5513
Phone Number
424-314-7695
Fax Number
424-314-7699
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A728820 05 CA
institution
Provider Business Practice Location Address Details
Address
18133 Ventura Blvd Ste 102
City
Tarzana
State
California
Zip
91356-3641
Phone Number
424-314-7695
Fax Number
424-314-7699
person
Provider Business Mailing Address Details
Address
18133 Ventura Blvd Ste 102
City
Tarzana
State
California
Zip
91356-3641
Phone Number
424-314-7695
Fax Number
424-314-7699
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A72882 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
A72882 (California)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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