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Search › California › 101Y00000X

Trevor Bottorff, LAADC, CSC

NPI 1457618001 · on the registry since 2012 · sole proprietor

Practice

Address
976 Lenzen Avenue
Room 4
San Jose, CA 95126
Phone
(408) 792-5274
Fax
(408) 947-8719
Organisation at this address
Dads
County Santa Clara
County Of Santa Clara
County Of Santa Clara
County Of Santa Clara
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-20

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