# KOLIMPR'I LLC

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

## Provider details

- **NPI number:** 1528746013
- **Authorized official:** SCHMEKA D MILLER (OWNER)
- **Authorized official phone:** (619) 348-1372

## Contact information

- **Practice address:** 7610 HAZARD CENTER DR \# 703-102, SAN DIEGO, CA 92108-4529
- **Practice address phone:** (619) 348-1372
- **Mailing address:** 11374 VIA RANCHO SAN DIEGO UNIT E, EL CAJON, CA 92019-5213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 07/06/2023
