Organization Name: | BOMA CORP |
NPI Number: | 1144545286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERTIN NGNIBOGHA (CEO) |
Mailing Address: | 512 Main St Suite#a Fillmore |
State: | CA US |
Postal Code: | 930152046 |
Phone Number: | 8055242388 |
Fax Number: | 8055242362 |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 02/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 51175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |