Look up the most recent NPI and PECOS records

Maywest Med Llc

Internal Medicine

Allopathic & Osteopathic Physicians

24307 Magic Mountain Pkwy # 416, Valencia, CA 91355-3402

PECOS Enrollment

Based on the most recent information from CMS, provider Maywest Med Llc 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 3 days ago.

Profile Details

Provider ID
1710242037
Provider Type
Organization
Full Name
Maywest Med Llc

Subpart
No
Enumeration Date
7/12/2012
Last Updated
1/17/2017

Contact Information

Practice Location

24307 Magic Mountain Pkwy # 416, Valencia, CA 91355-3402

(860) 881-4161

Unlisted Fax

Mailing Location

24307 Magic Mountain Pkwy # 416, Valencia, CA 91355-3402

(860) 881-4161

Unlisted Fax

Authorized Official

Awkal, May (Ceo)

(860) 881-4161

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A114911 California

Maywest Med Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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