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Kimbo Medical Distributor
Prosthetic/Orthotic Supplier in Wilmington, California
NPI 1891916367

Kimbo Medical Distributor is a Prosthetic/Orthotic Supplier based in Wilmington, CA. Kimbo Medical Distributor practices in Wilmington, CA. The NPI Number for Kimbo Medical Distributor is 1891916367 and holds a License No. 44548 (California).

The current practice location address for Kimbo Medical Distributor is 407 N Avalon Blvd, Wilmington, CA and can be reached out via phone at 310-834-9574 and via fax at 866-398-5898.

Location: 407 N Avalon Blvd, Wilmington, CA, 90744-5803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891916367
Provider Name
Kimbo Medical Distributor
Credential
Provider Entity Type
Organization
Address
407 N Avalon Blvd, Wilmington, CA, 90744-5803
Phone Number
310-834-9574
Fax Number
866-398-5898
Provider Enumeration Date
05/01/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMCSUBT9E 05 CA
institution
Provider Business Practice Location Address Details
Address
407 N Avalon Blvd
City
Wilmington
State
California
Zip
90744-5803
Phone Number
310-834-9574
Fax Number
866-398-5898
person
Provider Business Mailing Address Details
Address
407 N Avalon Blvd
City
Wilmington
State
California
Zip
90744-5803
Phone Number
310-834-9574
Fax Number
866-398-5898
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
44548 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
44548 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
44548 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
44548 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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