# MICHAEL MAYO D P M PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356527691
- **Authorized official:** DR. MICHAEL MAYO D.P.M. (OWNER)
- **Authorized official phone:** (323) 583-3668

## Contact information

- **Practice address:** 2961 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5836
- **Practice address phone:** (323) 583-3668
- **Mailing address:** PO BOX 5727, FULLERTON, CA 92838-0727
- **Mailing address phone:** (323) 583-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E3259 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 10/09/2008