Organization
MERCY PROSTHETICS & ORTHOTICS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENA SALAMA MANOLLY CPO (CERTIFIED PROSTHETIST ORTHTOTIST)
(951) 299-8844
Entity
Organization
Contact information
Practice address
1390 E 6TH ST STE 4, BEAUMONT, CA 92223-2516
(951) 966-7661
Mailing address
1390 E 6TH ST STE 4, BEAUMONT, CA 92223-2516
(951) 299-8844
(951) 717-8991
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
06/10/2026
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