Carmen Botero, Md
Pediatric Cardiology
Carmen Botero, Md is a Tarzana, California based Pediatric center with medical specialization in
Pediatric Cardiology.
It is located at
18321 Clark St, Tarzana, California - 91356-3501. They can be contacted on phone at
208-676-9080.
NPI number (Unique professional ID) for Carmen Botero, Md is
1063631802 which was assigned by NPPES on 24 Apr, 2007 and it was last updated on 22 Aug, 2020.
Carmen Botero, Md 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.
Complete Profile:
Carmen Botero, Md basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Carmen Botero, Md |
|---|
Business Address:
Carmen Botero, Md address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 18321 Clark St
Tarzana, CA, 91356-3501
United States |
|---|
| Phone Number : | 208-676-9080 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063631802 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 24 Apr, 2007 |
|---|
| Last Updated On : | 22 Aug, 2020 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Karen Hale |
|---|
| Official Title or Position : | BUSINESS OFFICE MANAGER |
|---|
| Phone Number : | 208-762-6836 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carmen Botero, Md are as mentioned. Primary taxonomy code for Carmen Botero, Md is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | No | A47742 | CA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | A47742 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Carmen Botero, Md such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ01458Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 00A477420 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 570587
Tarzana, CA, 91357-0587
United States |
|---|
Business Location:
Patients can refer following map for directions to
Carmen Botero, Md practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.