Healthcare Provider Details

I. General information

NPI: 1376897462
Provider Name (Legal Business Name): FERRACO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2012
Last Update Date: 10/08/2021
Certification Date: 10/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8734 CLETA ST UNIT C
DOWNEY CA
90241-5279
US

IV. Provider business mailing address

2933 LONG BEACH BLVD
LONG BEACH CA
90806-1517
US

V. Phone/Fax

Practice location:
  • Phone: 562-869-1737
  • Fax: 562-490-2833
Mailing address:
  • Phone: 562-988-2414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberCPO01294
License Number StateCA

VIII. Authorized Official

Name: BRIAN M CRONIN
Title or Position: CFO
Credential:
Phone: 626-445-7797