Organization
XO DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS BONILLA (BUSINESS MANAGER)
(951) 490-8450
Entity
Organization
Contact information
Practice address
860 JAMACHA RD STE 104, EL CAJON, CA 92019-3225
(619) 226-4131
Mailing address
860 JAMACHA RD STE 104, EL CAJON, CA 92019-3225
(619) 226-4131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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