Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Botero, MD

Organization Pediatric Cardiology Physician · NPI 1063631802

Carmen Botero, MD is a Pediatric Cardiology Physician in Tarzana, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

18321 Clark St
Tarzana, CA 91356-3501
Phone: (208) 676-9080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence A47742 (CA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence A47742 (CA)

Record details

NPI number1063631802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Hale — Business Office Manager · (208) 762-6836
NPI enumeratedApril 24, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 570587, Tarzana, CA 91357-0587