Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC I BOTNICK, MD
ActiveMARC I BOTNICK, MD is a Radiation Oncology healthcare provider located in TARZANA, California. NPI 1033192844 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · TARZANA, CA
Registration Details
- NPI Number
- 1033192844
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2005 (20.741514903183 yrs)
- Last Updated
- Jun 1, 2022
- Licenses
-
A72882 (CA)A72882 (CA)
Practice Information
- Address
-
18133 VENTURA BLVD STE 102TARZANA, CA, 913563641Browse CA providers · Browse ZIP 91356
- Phone
- 4243147695
- Fax
- 4243147699
- Primary Specialty
-
Radiation Oncology
2085R0001X
- Additional Specialty
- Radiation Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.