Provider Demographics
NPI:1437215548
Name:IRUMUNDOMON, JULIUS IDOWU (RCP)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:IDOWU
Last Name:IRUMUNDOMON
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E BROADWAY STE 424
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-3162
Mailing Address - Country:US
Mailing Address - Phone:562-682-3858
Mailing Address - Fax:562-285-0559
Practice Address - Street 1:235 E BROADWAY STE 424
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-3162
Practice Address - Country:US
Practice Address - Phone:562-682-3858
Practice Address - Fax:562-285-0559
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55832163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health