KIMBO MEDICAL DISTRIBUTOR NPI 1891916367

NPI Information

KIMBO MEDICAL DISTRIBUTOR is a parenteral and enteral nutrition durable medical equipment medical supplies in Wilmington, CA. KIMBO MEDICAL DISTRIBUTOR NPI is 1891916367. The provider is registered as an organization entity type.
The provider Is Doing Business As Kimbo Medical Distributor.

The provider's business location address is:

407 N AVALON BLVD
WILMINGTON, CA
ZIP 90744-803
Phone: (310) 834-9574
Fax: (866) 398-5898

The provider's authorized official is Godwill Tabe Tamunang .
The authorized official title is C.e.o and has the following contact phone number (310) 834-9574.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.