# XO DME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245124478
- **Authorized official:** CARLOS BONILLA (BUSINESS MANAGER)
- **Authorized official phone:** (951) 490-8450

## Contact information

- **Practice address:** 860 JAMACHA RD STE 104, EL CAJON, CA 92019-3225
- **Practice address phone:** (619) 226-4131
- **Mailing address:** 860 JAMACHA RD STE 104, EL CAJON, CA 92019-3225
- **Mailing address phone:** (619) 226-4131

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 06/04/2025