Organization
IBON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIAGELI B. AGBU (PRESIDENT)
(310) 515-1582
Entity
Organization
Contact information
Practice address
550 E CARSON PLAZA DR, SUITE 107, CARSON, CA 90746-3229
(310) 515-1582
(310) 515-1583
Mailing address
550 E CARSON PLAZA DR, SUITE 107, CARSON, CA 90746-3229
(310) 515-1582
(310) 515-1583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48846
CA
Other
Enumeration date
02/28/2008
Last updated
07/10/2008
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