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Organization

BOMA CORP

Active
Other names
BOMA MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
BERTIN NGNIBOGHA (CEO)
(626) 975-1247
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
51175
CA

Other

Enumeration date
04/01/2010
Last updated
02/18/2011
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