Organization
MICHAEL MAYO D P M PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAYO D.P.M. (OWNER)
(323) 583-3668
Entity
Organization
Contact information
Practice address
2961 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5836
(323) 583-3668
Mailing address
PO BOX 5727, FULLERTON, CA 92838-0727
(323) 583-3668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
E3259
CA
Other
Enumeration date
01/17/2008
Last updated
10/09/2008
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