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General NPI Number Information
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NPI Number | 1033031927
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Entity Type | Organization
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Legal Business Name | JOHN BOUZ DO, INC.
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 210 W SAN BERNARDINO RD
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City | COVINA
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State | CA
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Zip | 91723-1515
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Country | US
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Telephone | 626-331-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 428 CANNON AVE
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City | SAN DIMAS
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State | CA
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Zip | 91773-3645
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Country | US
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Telephone | 626-353-4636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN BOUZ
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Credential | DO
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Telephone | 626-353-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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