Timothy Eugene Botello, MD
Psychiatry & Neurology, Psychiatry in Los Angeles, CA. Individual provider (NPI-1).
NPI number1477581346
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1477581346
- Entity type
- Individual (NPI-1)
- Name
- Timothy Eugene Botello
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Certification date
- Sep 8, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | G42868 | CA | Yes |
Practice location
1520 San Pablo StSte 1652
Los Angeles, CA 90033-5321
Phone 323-442-6000 · Fax 323-442-6001
Mailing address
Po Box 31309Los Angeles, CA 90031-0309
Phone 323-442-6000
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