Healthcare Provider Details

I. General information

NPI: 1154931939
Provider Name (Legal Business Name): MS. JULIANNA BOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2243 N MOUNTAIN AVE
CLAREMONT CA
91711-1586
US

IV. Provider business mailing address

2243 N MOUNTAIN AVE
CLAREMONT CA
91711-1586
US

V. Phone/Fax

Practice location:
  • Phone: 909-374-1295
  • Fax:
Mailing address:
  • Phone: 909-374-1295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: