Dr. Issa M Botros, MD
Dr. Issa M Botros, MD is a Family Practice in San Pedro, California. Qualified in 1987, 39 years ago. Practices with Providence Medical Institute, a 336-clinician group and accepts Medicare assignment. Licensed in California and Michigan.
- Years since qualifying
- 39
- Licensed in
- CA, MI
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1499 W 1st StSan Pedro, CA 90732-3255
Phone: (310) 241-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence A106987 (CA) |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X · Licence 4301090843 (MI) |
Record details
| NPI number | 1124227772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 13, 2007 |
| Last updated in NPPES | November 30, 2021 |
| Certification date | November 30, 2021 |
| Mailing address | 1499 W 1st St, San Pedro, CA 90732-3255 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1987 (39 years in practice) |
| Group practice | Providence Medical Institute — 336 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |