Organization
BONITA MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED REFAAT MOHAMED (CEO)
(619) 539-4725
Entity
Organization
Contact information
Practice address
4045 BONITA RD STE 310, BONITA, CA 91902-1347
(619) 539-4725
Mailing address
4045 BONITA RD STE 310, BONITA, CA 91902-1347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
08/08/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up