Kimbo Medical Distributor

Parenteral & Enteral Nutrition



  
  407 N Avalon Blvd, Wilmington
California, 90744-5803

 310-834-9574    866-398-5898
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.
SpecializationLicense NumberStateStatus
Parenteral & Enteral Nutrition 44548CaliforniaPrimary
Durable Medical Equipment & Medical Supplies 44548CaliforniaSecondary
Oxygen Equipment & Supplies 44548CaliforniaSecondary
Prosthetic/orthotic Supplier 44548CaliforniaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
CMCSUBT9EMedicaidCalifornia
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.