# BOMA CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOMA MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144545286
- **Authorized official:** BERTIN NGNIBOGHA (CEO)
- **Authorized official phone:** (626) 975-1247

## Contact information

- **Practice address:** 512 MAIN ST, SUITE\#A, FILLMORE, CA 93015-2046
- **Practice address phone:** (805) 524-2388
- **Practice address fax:** (805) 524-2362
- **Mailing address:** 512 MAIN ST, SUITE\#A, FILLMORE, CA 93015-2046
- **Mailing address phone:** (805) 524-2388
- **Mailing address fax:** (805) 524-2362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 51175 | CA | Yes |

## Other

- **Enumeration date:** 04/01/2010
- **Last updated:** 02/18/2011