MEDICARE: MEALPRO LLC

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
1	335G00000X	Medical Foods Supplier

General Provider Information

NPI Number	:	1922843192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEALPRO LLC

Provider Business Mailing Address
First Line	:	7433 GREENBACK LANE
Second Line	:	SUITE A
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610
Country	:	US
Telephone Number	:	844-463-2577
Fax Number	:

Provider Business Practice Location Address
First Line	:	7433 GREENBACK LANE
Second Line	:	SUITE A
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610
Country	:	US
Telephone Number	:	844-463-2577
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MR. LUCA SARTORI
Credential	:
Telephone Number	:	408-616-0304

Provider Enumeration Date	:	06/28/2024
Last Update Date	:	06/28/2024

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Directions to “MEALPRO LLC ” Practice Location

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