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NPI Code Detail

MEDICARE: FERRACO, INC.

MEDICARE: FERRACO, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic SupplierCPO 01294DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033134903
Entity Type Code : Organization
Provider Name (Legal Business Name) : FERRACO, INC.
Provider Business Mailing Address
First Line : 2933 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1517
Country : US
Telephone Number : 562-988-2414
Fax Number : 562-490-2831
Provider Business Practice Location Address
First Line : 2933 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1517
Country : US
Telephone Number : 562-988-2414
Fax Number : 562-490-2831
Authorized Official
Title or Position : DIRECTOR
Name : BRIAN M CRONIN
Credential :
Telephone Number : 626-445-7797
Provider Enumeration Date : 07/13/2006
Last Update Date : 12/30/2020

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Directions to “FERRACO, INC. ” Practice Location

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