Kimbo Medical Distributor is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Wilmington, California. It is situated at 407 N Avalon Blvd, Wilmington and its contact number is 310-834-9574. The authorized person of Kimbo Medical Distributor is Mr. Godwill Tabe Tamunang
who is C.e.o of the store and his/her contact number is 310-834-9574. Primary license number for Kimbo Medical Distributor is 44548 in California. Kimbo Medical Distributor is 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.
Complete Center Profile:
Kimbo Medical Distributor Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
407 N Avalon Blvd, Wilmington, California, 90744-5803
Phone:
310-834-9574
Fax:
866-398-5898
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Godwill Tabe Tamunang
Position:
C.e.o
Contact Number:
310-834-9574
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kimbo Medical Distributor center are as mentioned below.
NPI Number:
1891916367
NPI Enumeration Date:
01 May, 2007
NPI Last Update On:
09 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimbo Medical Distributor are as mentioned below.
Specialization
License Number
State
Status
44548
California
Primary
44548
California
Secondary
44548
California
Secondary
44548
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CMCSUBT9E
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kimbo Medical Distributor 407 N Avalon Blvd, Wilmington, California
Zip:
90744-5803
Phone Number:
310-834-9574
Fax Number:
866-398-5898
Patients can reach Kimbo Medical Distributor at 407 N Avalon Blvd, Wilmington, California or can call to book an appointment on 310-834-9574. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.