OrganizationPacific Wavecrest Medical CorporationSpecialistOther Service ProvidersPractice Address2500 E Ball Rd, Ste 200, Anaheim, CA 92806-5054(714) 284-0111PECOS EnrollmentBased on the most recent information from CMS, provider Pacific Wavecrest Medical Corporation 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 today at 11:36 AM.Profile DetailsProvider ID1871833715Provider TypeOrganizationFull NamePacific Wavecrest Medical CorporationSubpartNoEnumeration Date2/28/2013Last Updated2/28/2013Contact InformationPractice LocationPractice Address2500 E Ball Rd, Ste 200, Anaheim, CA 92806-5054Phone(714) 284-0111FaxUnlisted FaxMailing LocationMailing Address2500 E Ball Rd, Ste 200, Anaheim, CA 92806-5054PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameAhmed, Ghazala (Secretary)Phone(714) 284-0111Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense43843California