MINA BOTROS (NPI# 1730666595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730666595 |
| Entity Type | Individual |
| Full Name | MINA BOTROS |
| Credential | DDS |
| Practice Address |
755 W Rancho Vista Blvd Palmdale CA 93551-3735 |
| Mailing Address |
6601 Woodley Ave Unit 10 Van Nuys CA 91406-5896 |
| Practice Telephone | 6612657800 |
| Mailing Telephone | 8189300584 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
102674 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487281135 | Mina Ashak Botros | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-03-24 |
| 1124660766 | Mina Botros | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2019-10-15 |
| 1477040186 | Mina Botros | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2018-04-18 |
| 1578074225 | Mina Botros | Chiropractor | 5306 N Port Washington Rd, Glendale, WI 53217-4913 | 2017-10-21 |
| 1295284206 | Mina Botros | Pharmacist | 4400 W Green Oaks Blvd, Arlington, TX 76016-5608 | 2016-10-03 |
| 1669882643 | Mina Botros | Hospitalist | 550 1st Ave, New York, NY 10016-6402 | 2014-04-30 |
| Street Address |
755 W RANCHO VISTA BLVD |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669536678 | Easley Dental Corporation | Dentist | 755 W Rancho Vista Blvd, Palmdale, CA 93551 | 2006-12-21 |
| 1043866353 | Ani Alexander | Dentist | 755 W Rancho Vista Blvd, Palmdale, CA 93551-3735 | 2019-08-13 |
| 1356727184 | Nicole O'pallick | Dentist | 755 W Rancho Vista Blvd, Palmdale, CA 93551-3735 | 2015-08-04 |
| 1255772182 | Daniel Khorshad | Dentist | 755 W Rancho Vista Blvd, Palmdale, CA 93551-3735 | 2013-07-08 |
| 1578804050 | Harleen Mann-grewal | Dentist | 755 W Rancho Vista Blvd, Palmdale, CA 93551 | 2013-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568952901 | Boulevard Dental | Dentist | 939 E Palmdale Blvd, Palmdale, CA 93550-4711 | 2018-05-10 |
| 1457723041 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 2140 E Palmdale Blvd, Suite A, Palmdale, CA 93550-1202 | 2015-10-22 |
| 1124416987 | Amalia S Osma Dental Corporation | Dentist | 37935 47th St E Ste A22, Palmdale, CA 93552-3268 | 2015-01-02 |
| 1376810002 | Harmik Hartounian | Dentist | 1021 W Avenue M14, Palmdale, CA 93551-1440 | 2011-11-23 |
| 1558652396 | Jeffrey A Sulitzer | Dentist | 1037 E Palmdale Blvd Ste 203, Palmdale, CA 93550-4745 | 2011-04-27 |
| 1326341371 | Sadek Dds Inc. | Dentist | 247 E Palmdale Blvd Ste B, Palmdale, CA 93550-4567 | 2010-12-14 |
| 1295965796 | Joseph R Fernandez Jr. | Dentist | 755 West Rancho Blvd, Palmdale, CA 93551 | 2009-07-17 |
| 1417199639 | Jonathan S. Won Dds Inc | Dentist | 37262 47th St E Ste 101, Palmdale, CA 93552-4482 | 2009-04-02 |
| 1508013822 | Yara Scarlette Lopez Tinoco | Dentist | 40112 170th St E Ste C, Palmdale, CA 93591-3154 | 2008-08-19 |
| 1831356054 | James D Powell Dds PC | Dentist | 41230 11th St W Ste F, Palmdale, CA 93551-1411 | 2008-05-16 |
| Find all providers in PALMDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.