Individual ProviderHana MouaAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800(209) 628-0809PECOS EnrollmentBased on the most recent information from CMS, provider Hana Moua is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1285095406Provider TypeIndividualFull NameMoua, HanaGenderFemaleSole ProprietorYesEnumeration Date3/16/2016Last Updated6/8/2023Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1881Mailing LocationMailing Address4901 North Pkwy, Sacramento, CA 95823-2162Phone(209) 628-0809FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseA164115California