Kimbo Medical Distributor
Parenteral & Enteral Nutrition
407 N Avalon Blvd, Wilmington
California, 90744-5803
310-834-9574 866-398-5898
Kimbo Medical Distributor is not a DME supplier for medicare equipment and products.Kimbo Medical Distributor is a Parenteral & Enteral Nutrition in Wilmington, California. It is located at 407 N Avalon Blvd, Wilmington and it's customer support contact number is 310-834-9574. The authorized person of Kimbo Medical Distributor is Mr. Godwill Tabe Tamunang, P.T who is C.e.o of this DME and his contact number is 310-834-9574. Active license number of Kimbo Medical Distributor is 44548 for Parenteral & Enteral Nutrition in California.
Kimbo Medical Distributor is a medical supplier who supplies 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.
DME Supplier Details:
Kimbo Medical Distributor type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Kimbo Medical Distributor |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 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 supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Godwill Tabe Tamunang |
| Credentials: | P.T |
| 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 of given supplier 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 | |
| Parenteral & Enteral Nutrition | 44548 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | 44548 | California | Secondary | |
| Oxygen Equipment & Supplies | 44548 | California | Secondary | |
| Prosthetic/orthotic Supplier | 44548 | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this 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: | 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 on customer care at 310-834-9574.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.