Search › California › 343900000X
Fernando Botero
NPI 1982163465 · on the registry since 2019 · sole proprietor
Practice
- Address
- 15220 Fox Ridge Dr
Fontana, CA 92336 - Phone
- (909) 815-0166
- Organisation at this address
- Inland Care Transport
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 347E00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California