Organization
MEACHAM ENT INC
Active
Other names
Central Valley CPM & Brace
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD L SALAZAR (CEO)
(559) 438-4488
Entity
Organization
Contact information
Practice address
323 W CROMWELL, STE 118, FRESNO, CA 93711-5844
(559) 438-4488
(559) 438-4238
Mailing address
323 W CROMWELL AVE, STE 118, FRESNO, CA 93711-6166
(559) 438-4488
(559) 438-4238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45316
CA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ45760Z
BS
CA
Enumeration date
08/30/2006
Last updated
02/21/2008
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