Provider Demographics
NPI:1730598244
Name:MEYER, ED (DHOM)
Entity type:Individual
Prefix:
First Name:ED
Middle Name:
Last Name:MEYER
Suffix:
Gender:M
Credentials:DHOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91769-0279
Mailing Address - Country:US
Mailing Address - Phone:310-924-7068
Mailing Address - Fax:
Practice Address - Street 1:255 W MISSION BLVD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-1703
Practice Address - Country:US
Practice Address - Phone:310-924-7068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No175F00000XOther Service ProvidersNaturopath
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant