Individual ProviderSuad KapetanovicPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310(323) 442-6000PECOS EnrollmentBased on the most recent information from CMS, provider Suad Kapetanovic 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 2 days ago.Profile DetailsProvider ID1003845702Provider TypeIndividualFull NameKapetanovic, SuadCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/3/2006Last Updated11/27/2023Contact InformationPractice LocationPractice Address1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310Phone(323) 442-6000FaxUnlisted FaxMailing LocationMailing AddressPO Box 31309, Los Angeles, CA 90031-0309Phone(323) 442-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA85682California