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Ibon, INC.

Durable Medical Equipment & Medical Supplies in Carson, CA. Organization (NPI-2).

NPI number1609045103
StatusActive
Last updated in NPPESJul 10, 2008

Details

NPI
1609045103
Entity type
Organization (NPI-2)
Legal business name
Ibon, INC.
Organization subpart
No
Enumeration date
Feb 28, 2008
Last updated
Jul 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies48846CAYes

Practice location

550 E Carson Plaza Dr
Suite 107
Carson, CA 90746-3229

Phone 310-515-1582 · Fax 310-515-1583

Mailing address

550 E Carson Plaza Dr
Suite 107
Carson, CA 90746-3229

Phone 310-515-1582 · Fax 310-515-1583

Authorized official

Obiageli B. Agbu
President
3105151582

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