Boma Corp

Organization Active NPI Durable Medical Equipment & Medical Supplies · Fillmore, CA

NPI 1144545286 · NPPES record last updated Feb 18, 2011

Key facts

NPI
1144545286
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
51175 (CA)
Legal business name
BOMA CORP
Practice address
512 Main St
Suite#a
Fillmore, CA 93015-2046
Phone
(805) 524-2388
Fax
(805) 524-2362
NPI assigned
Apr 1, 2010
Organization subpart
No

Authorized official

Name
Bertin Ngnibogha
Title
Ceo
Phone
(626) 975-1247

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 51175 CA Yes

Addresses

Primary practice location

512 Main St
Suite#a
Fillmore, CA 93015-2046

Mailing address

512 Main St
Suite#a
Fillmore, CA 93015-2046
Phone (805) 524-2388

Other names

  • BOMA MEDICAL SUPPLY Other name

Other providers in Fillmore, CA

All providers in Fillmore, CA · Durable Medical Equipment & Medical Supplies in California

Sources for this page

Verify at the official NPI Registry.