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NPI Code Detail

MEDICARE: MRS. BLANCA ESTHER RUIZ BOTELLO NP

MEDICARE:  MRS. BLANCA ESTHER RUIZ BOTELLO  NP
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
1363LF0000XFamily Nurse Practitioner585343CA
2363LF0000XFamily Nurse Practitioner14969CA

General Provider Information

NPI Number : 1821142555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BLANCA ESTHER RUIZ BOTELLO NP
Provider Business Mailing Address
First Line : 5 CENTERPOINTE DR
Second Line :
City : LA PALMA
State : CA
Zip : 90623-1050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR
Second Line :
City : LA PALMA
State : CA
Zip : 90623-1050
Country : US
Telephone Number : 714-562-3367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 12/14/2021

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Directions to “ MRS. BLANCA ESTHER RUIZ BOTELLO NP” Practice Location

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