| Organization Name: | JENNIFER R. BOOZER, D.O., INC. |
| NPI Number: | 1003148081 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER ROSE BOOZER (PRESIDENT) |
| Mailing Address: | 1601 Monte Vista Ave Suite 260 Claremont |
| State: | CA US |
| Postal Code: | 917112962 |
| Phone Number: | 9094501571 |
| Fax Number: | 9095790100 |
| NPI Enumeration Date: | 02/02/2010 |
| NPI Last Update Date: | 02/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 2OA8927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |