Kimbo Medical Distributor
NPI #1891916367 in Wilmington, California
Provider Information
- NPI Number
- 1891916367
- Entity Type
- Organization
- Organization Name
- Kimbo Medical Distributor
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
- Enumeration Date
- May 1, 2007
- Last Updated
- Nov 9, 2011
Practice Location
- Address
- 407 N AVALON BLVD
- City
- Wilmington
- State
- California
- ZIP Code
- 90744-5803
- Phone
- (310) 834-9574
Authorized Official
- Name
- MR. GODWILL TABE TAMUNANG, P.T
- Title
- C.E.O
- Phone
- (310) 834-9574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
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