Healthcare Provider Details

I. General information

NPI: 1578794194
Provider Name (Legal Business Name): FERRACO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 10/08/2021
Certification Date: 10/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 PARKWAY LOOP SUITE C
TUSTIN CA
92780-6526
US

IV. Provider business mailing address

1541 PARKWAY LOOP SUITE C
TUSTIN CA
92780-6526
US

V. Phone/Fax

Practice location:
  • Phone: 714-258-8144
  • Fax: 562-490-2831
Mailing address:
  • Phone: 714-258-8144
  • Fax: 562-490-2831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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