Healthcare Provider Details

I. General information

NPI: 1972387280
Provider Name (Legal Business Name): JULIA GATHONI KEMEI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA GATHONI WANJIRU

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 MEYER LN
POMONA CA
91767-7011
US

IV. Provider business mailing address

2705 MEYER LN
POMONA CA
91767-7011
US

V. Phone/Fax

Practice location:
  • Phone: 626-348-7941
  • Fax:
Mailing address:
  • Phone: 626-348-7941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95182572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: