# JULIUS C KPADUWA MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOTHER AND CHILD HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790975258
- **Authorized official:** MR. JULIUS C KPADUWA MD (MD)
- **Authorized official phone:** (626) 454-1801

## Contact information

- **Practice address:** 16008 AMAR RD, CITY OF INDUSTRY, CA 91744-2203
- **Practice address phone:** (626) 330-9535
- **Practice address fax:** (626) 330-2661
- **Mailing address:** 9573 GARVEY AVE, STE 17, S EL MONTE, CA 91733-4606
- **Mailing address phone:** (626) 454-1801
- **Mailing address fax:** (626) 454-2203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | G51500 | CA | Yes |
| 208000000X | Pediatrics Physician | A56261 | CA | — |

## Other

- **Enumeration date:** 07/30/2007
- **Last updated:** 04/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0085702 | — | CA |
