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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up