Individual
RONALD MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2933 LONG BEACH BLVD, LONG BEACH, CA 90806-1517
(562) 988-2414
Mailing address
2933 LONG BEACH BLVD, LONG BEACH, CA 90806-1517
(562) 988-2414
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0386410001
PTAN
CA
Enumeration date
12/13/2021
Last updated
12/13/2021
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