Organization
J KAGWA-NYANZI PEDIATRICS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA KAGWA MD (CEO)
(909) 865-5519
Entity
Organization
Contact information
Practice address
117 W WILLOW ST STE B, POMONA, CA 91768-1829
(909) 865-5519
Mailing address
117 W WILLOW ST STE B, POMONA, CA 91768-1829
(909) 865-5519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A45809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A458090
—
CA
Enumeration date
06/29/2009
Last updated
06/29/2009
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