Individual
DR. GEOFFREY A BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28632 ROADSIDE DR STE 235, AGOURA HILLS, CA 91301-6095
(310) 801-0092
Mailing address
28632 ROADSIDE DR STE 235, AGOURA HILLS, CA 91301-6095
(310) 801-0092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A74560
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
61-0572
CA
Other
Enumeration date
08/19/2006
Last updated
09/21/2021
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