Healthcare Provider Details

I. General information

NPI: 1306752506
Provider Name (Legal Business Name): BOTROS & ESKANDAR DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N 4TH ST STE 210
MONTEBELLO CA
90640-4309
US

IV. Provider business mailing address

3959 TELEGRAPH RD
VENTURA CA
93003-3636
US

V. Phone/Fax

Practice location:
  • Phone: 323-888-1030
  • Fax:
Mailing address:
  • Phone: 805-270-9714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: BESHOY ESKANDAR
Title or Position: DENTIST
Credential: DDS
Phone: 805-270-9714