Bonita Medical Supply, Inc.
NPI #1205617214 in Bonita, California
Provider Information
- NPI Number
- 1205617214
- Entity Type
- Organization
- Organization Name
- Bonita Medical Supply, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 6, 2023
- Last Updated
- Aug 8, 2024
Practice Location
- Address
- 4045 BONITA RD STE 310
- City
- Bonita
- State
- California
- ZIP Code
- 91902-1347
- Phone
- (619) 539-4725
Authorized Official
- Name
- MOHAMED REFAAT MOHAMED
- Title
- CEO
- Phone
- (619) 539-4725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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