Kimbo Medical Distributor
NPI 1891916367 · Parenteral & Enteral Nutrition Supplies (DME) · Wilmington, CA
Kimbo Medical Distributor is a Parenteral & Enteral Nutrition Supplies (DME) organization in Wilmington, CA (NPI 1891916367).
Provider details
- NPI number
- 1891916367
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Godwill Tamunang, C.e.o(310) 834-9574
- License
- 44548 (CA)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kimbo Medical Distributor
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2011-11-09
Frequently asked questions
- What is Kimbo Medical Distributor's NPI number?
- Kimbo Medical Distributor's National Provider Identifier (NPI) is 1891916367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kimbo Medical Distributor?
- Kimbo Medical Distributor is classified in the NPPES registry as Parenteral & Enteral Nutrition Supplies (DME) (Suppliers).
- Where is Kimbo Medical Distributor located?
- Kimbo Medical Distributor's practice location on file with NPPES is 407 N Avalon Blvd, Wilmington, CA 90744-5803.
- What is Kimbo Medical Distributor's phone number?
- The practice phone number listed in the NPPES registry for Kimbo Medical Distributor is (310) 834-9574.
- Who is the authorized official for Kimbo Medical Distributor?
- The authorized official listed on Kimbo Medical Distributor's NPPES record is Godwill Tamunang, C.e.o. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kimbo Medical Distributor's NPI active?
- Yes — Kimbo Medical Distributor's NPI (1891916367) is active in the NPPES registry as of the last update on 2011-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.