IndividualActive
Albert Mezzanares, COA
NPI 1609409275 · Orthotic Fitter · Tracy, CA
Provider details
- NPI number
- 1609409275
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COA
- Sex
- Male
- Sole proprietor
- No
Practice location
1355 Bessie Ave
Tracy, CA 95376-3415
Phone: (209) 834-8600
Fax: (209) 834-8700
Mailing address
1355 Bessie Ave
Tracy, CA 95376-3415
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.