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KIMBO MEDICAL DISTRIBUTOR
NPI 1891916367
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Wilmington, CA

Active since May 01, 2007
407 N AVALON BLVD, WILMINGTON, CA 90744(310) 834-9574(866) 398-5898 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimbo Medical Distributor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBO MEDICAL DISTRIBUTOR (NPI 1891916367) is a healthcare organization registered as a parenteral & enteral nutrition in Wilmington, California and active in the NPI registry since May 2007. The organization lists Godwill Tabe Tamunang, C.e.o, as its authorized official.

NPPES Registry Identity

NPI1891916367
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameKIMBO MEDICAL DISTRIBUTOR
Location Address407 N AVALON BLVDWilmington, CA 90744-5803
Mailing Address407 N Avalon BlvdWilmington, CA 90744-5803 · (310) 834-9574 · Fax (866) 398-5898
Phone(310) 834-9574
Fax(866) 398-5898
Organization SubpartNo
Authorized OfficialGodwill Tabe TamunangC.e.o · (310) 834-9574
Enumeration DateMay 1, 2007
Last NPPES UpdateNovember 9, 2011
✔ NPI 1891916367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
License✔ Licensed in CA · 44548
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 44548 (CA)
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 44548 (CA)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 44548 (CA)
407 N AVALON BLVD, Wilmington, CA 90744
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Other Names 1

Doing Business AsKimbo Medical Distributor

Other Identifiers 2

MedicaidCMCSUBT9ECA
Medicare NSC5756720001CA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GODWILL TABE TAMUNANG
Contractor
407 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 834-9574
KIMBO DRUG & ALCOHOL REHABILITATION SERVICES
Counselor (Addiction (Substance Use Disorder))
407 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (310) 549-5532
CHRISTO MEDICAL DISTRIBUTOR
Durable Medical Equipment & Medical Supplies
407 N AVALON BLVD
WILMINGTON, CA 90744
Los Angeles County (213) 300-2435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimbo Medical Distributor's NPI number?

The NPI number for Kimbo Medical Distributor is 1891916367. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Kimbo Medical Distributor located?

Kimbo Medical Distributor is located at 407 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 834-9574.

What is Kimbo Medical Distributor's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Kimbo Medical Distributor was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.