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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBO MEDICAL DISTRIBUTOR

Active Organization

KIMBO MEDICAL DISTRIBUTOR is a Parenteral & Enteral Nutrition (DME) organization located in WILMINGTON, California. NPI 1891916367 is currently active in the NPPES registry. Verify at CMS.

Parenteral & Enteral Nutrition (DME) · WILMINGTON, CA

Registration Details

NPI Number
1891916367
Provider Type
Organization
NPI Issued
May 1, 2007 (19.323359104612 yrs)
Last Updated
Nov 9, 2011
Licenses
44548 (CA)
44548 (CA)
44548 (CA)
44548 (CA)

Practice Information

Address
407 N AVALON BLVD
WILMINGTON, CA, 907445803
Browse CA providers · Browse ZIP 90744
Phone
3108349574
Fax
8663985898
Primary Specialty
Parenteral & Enteral Nutrition (DME)
332BP3500X
Additional Specialty
Prosthetic/Orthotic Supplier
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.