Basic Information
| Provider Information | |||||||||
| NPI: | 1477840999 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JASMINE A. BOWERS, M.D. INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4331 | ||||||||
| Address2: | |||||||||
| City: | INGLEWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 903094331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4242061919 | ||||||||
| FaxNumber: | 3103037944 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 N SUNSET AVE STE B | ||||||||
| Address2: | |||||||||
| City: | WEST COVINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917902278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6268692200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2011 | ||||||||
| LastUpdateDate: | 07/05/2011 | ||||||||
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| AuthorizedOfficialLastName: | APODACA | ||||||||
| AuthorizedOfficialFirstName: | MARIA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | CREDENTIALING SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 4242061919 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207L00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.