Provider Demographics
NPI:1235267006
Name:KAIRU, MUMBI NGUNJIRI (NP)
Entity Type:Individual
Prefix:
First Name:MUMBI
Middle Name:NGUNJIRI
Last Name:KAIRU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13215 SUNBIRD DR
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-5649
Mailing Address - Country:US
Mailing Address - Phone:909-702-5650
Mailing Address - Fax:714-551-8018
Practice Address - Street 1:1845 N FAIR OAKS AVE
Practice Address - Street 2:SUITE 2600
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1620
Practice Address - Country:US
Practice Address - Phone:626-296-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16570363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health