MARC I BOTNICK

TARZANA, CA
NPI1033192844
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: CA  A72882)
Additional Taxonomies174400000X Specialist
(Licence: CA  A72882)
Enumeration Date2005-11-25
Last Update Date2022-06-01
Business Address
MARC I BOTNICK MD
18133 VENTURA BLVD STE 102
TARZANA, CA 91356-3641
Phone number: 424-314-7695
Mailing Address
MARC I BOTNICK MD
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number:
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