Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ISSA M BOTROS, MD
ActiveDR. ISSA M BOTROS, MD is a Adolescent Medicine healthcare provider located in SAN PEDRO, California. NPI 1124227772 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SAN PEDRO, CA
Registration Details
- NPI Number
- 1124227772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2007 (19.106310257733 yrs)
- Last Updated
- Nov 30, 2021
- Licenses
-
4301090843 (MI)A106987 (CA)
Practice Information
- Address
-
1499 W 1ST STSAN PEDRO, CA, 907323255Browse CA providers · Browse ZIP 90732
- Phone
- 3102412590
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
Other Adolescent Medicine Providers in SAN PEDRO, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL SCHREIBER | D.O. | 1235253592 |
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.