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Dr. Issa M Botros, MD
Adult Medicine Physician in San Pedro, California
NPI 1124227772

Issa M Botros is an Adult Medicine Physician based in San Pedro, CA and is specialized in Adult Medicine. Issa M Botros practices in San Pedro, CA and has the professional credentials of MD. The NPI Number for Issa M Botros is 1124227772 and holds a License No. 4301090843 (California).

The current practice location address for Issa M Botros is 1499 W 1St St, San Pedro, CA and can be reached out via phone at 310-241-2590.

Location: 1499 W 1St St, San Pedro, CA, 90732-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124227772
Provider Name
Issa M Botros
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1499 W 1St St, San Pedro, CA, 90732-3255
Phone Number
310-241-2590
Fax Number
Provider Enumeration Date
07/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1499 W 1St St
City
San Pedro
State
California
Zip
90732-3255
Phone Number
310-241-2590
Fax Number
person
Provider Business Mailing Address Details
Address
1499 W 1St St
City
San Pedro
State
California
Zip
90732-3255
Phone Number
310-241-2590
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
4301090843 (Michigan)
Definition
Definition to come.
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