Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonita Medical Supply, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1205617214

Bonita Medical Supply, Inc is a Durable Medical Equipment & Medical Supplies in Bonita, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4045 Bonita Rd Ste 310
Bonita, CA 91902-1347
Phone: (619) 539-4725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1205617214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Mohamed — Ceo · (619) 539-4725
NPI enumeratedOctober 6, 2023
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address4045 Bonita Rd Ste 310, Bonita, CA 91902-1347

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