MEDICARE: JANIS BOTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SG0600X	Gerontology Clinical Nurse Specialist	5229	CA

General Provider Information

NPI Number	:	1356298483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANIS BOTE

Provider Business Mailing Address
First Line	:	358 W DORAN ST UNIT C
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3840
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	358 W DORAN ST UNIT C
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3840
Country	:	US
Telephone Number	:	818-913-5364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ JANIS BOTE ” Practice Location

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