Active NPI
Marian M Botros, RPH
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1396027447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62539
- Practice address
- 323 S Doheny Dr Apt 201
Los Angeles, CA 90048-3778 - Phone
- (323) 244-4975
- NPI assigned
- Sep 14, 2011
- Last updated
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62539 | CA | Primary |
Addresses
Primary practice location
323 S Doheny Dr Apt 201
Los Angeles, CA 90048-3778
Mailing address
323 S Doheny Dr Apt 201
Los Angeles, CA 90048-3778
Phone (323) 244-4975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62539 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1396027447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S DOHENY DR APT 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483778",
"telephone_number": "323-244-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S DOHENY DR APT 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483778",
"telephone_number": "323-244-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTROS",
"first_name": "MARIAN",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.