Michelle Kamrava | Los Angeles, CA • PECOS Search

Michelle Kamrava

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437

(424) 273-8900 (916) 576-7900

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle Kamrava does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1679962351
Provider Type
Individual
Full Name
Kamrava, Michelle
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/17/2015
Last Updated
2/14/2024

Contact Information

Practice Location

1019 Gayley Ave Fl 2, Los Angeles, CA 90024-3437

Unlisted Fax

Mailing Location

3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 97639 California