Individual ProviderJaime LiwagPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5814 Meridian St, Los Angeles, CA 90042-2627(323) 788-2154PECOS EnrollmentBased on the most recent information from CMS, provider Jaime Liwag does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1386197655Provider TypeIndividualFull NameLiwag, JaimeGenderMaleSole ProprietorYesEnumeration Date8/3/2016Last Updated8/3/2016Contact InformationPractice LocationPractice Address5814 Meridian St, Los Angeles, CA 90042-2627Phone(323) 788-2154FaxUnlisted FaxMailing LocationMailing Address5814 Meridian St, Los Angeles, CA 90042-2627Phone(323) 788-2154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense25240California