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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
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