Healthcare Provider Details

I. General information

NPI: 1033134903
Provider Name (Legal Business Name): FERRACO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2933 LONG BEACH BLVD
LONG BEACH CA
90806-1517
US

IV. Provider business mailing address

2933 LONG BEACH BLVD
LONG BEACH CA
90806-1517
US

V. Phone/Fax

Practice location:
  • Phone: 562-988-2414
  • Fax: 562-490-2831
Mailing address:
  • Phone: 562-988-2414
  • Fax: 562-490-2831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberCPO 01294
License Number StateDE

VIII. Authorized Official

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