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Contact Information

FERNANDO BOTERO
15220 FOX RIDGE DR
FONTANA, CA92336-0230
 Phone: 909-815-0166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
 

Transportation Broker

347E00000X
Indicates primary specialty

NPI Profile & details for FERNANDO BOTERO · (Male)

NPI Number 1982163465
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2019
Last updated 04/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 81-4404308
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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