OrganizationActive
Kimbo Medical Distributor
NPI 1891916367 · Parenteral & Enteral Nutrition Supplies (DME) · Wilmington, CA
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
Detailed profile(89/100 index)
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
407 N Avalon Blvd
Wilmington, CA 90744-5803
Phone: (310) 834-9574
Fax: (866) 398-5898
Street-level locationGet directions
Mailing address
407 N Avalon Blvd
Wilmington, CA 90744-5803
Other names (DBA / former)
- Doing business as
- Kimbo Medical Distributor
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 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.