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Carmen Botero, Md
Pediatric Critical Care Medicine Physician in Tarzana, California
NPI 1063631802

Carmen Botero, Md is a Pediatric Critical Care Medicine Physician based in Tarzana, CA and is specialized in Pediatric Critical Care Medicine. Carmen Botero, Md practices in Tarzana, CA. The NPI Number for Carmen Botero, Md is 1063631802 and holds a License No. A47742 (California).

The current practice location address for Carmen Botero, Md is 18321 Clark St, Tarzana, CA and can be reached out via phone at 208-676-9080.

Location: 18321 Clark St, Tarzana, CA, 91357-0587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063631802
Provider Name
Carmen Botero, Md
Credential
Provider Entity Type
Organization
Address
18321 Clark St, Tarzana, CA, 91357-0587
Phone Number
208-676-9080
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A477420 05 CA
ZZZ01458Z 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
18321 Clark St
City
Tarzana
State
California
Zip
91356-3501
Phone Number
208-676-9080
Fax Number
person
Provider Business Mailing Address Details
Address
18321 Clark St
City
Tarzana
State
California
Zip
91356-3501
Phone Number
208-676-9080
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
A47742 (California)
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
A47742 (California)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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