Individual ProviderJeffrey A. PashMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address11110 Los Alamitos Blvd, Suite 215, Los Alamitos, CA 90720-3602(714) 833-1569PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey A. Pash 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 yesterday at 9:43 AM.Profile DetailsProvider ID1043341332Provider TypeIndividualFull NamePash, Jeffrey A.TitleMr.GenderMaleSole ProprietorYesEnumeration Date3/8/2007Last Updated8/26/2013Contact InformationPractice LocationPractice Address11110 Los Alamitos Blvd, Suite 215, Los Alamitos, CA 90720-3602Phone(714) 833-1569Fax(562) 981-2622Mailing LocationMailing Address11110 Los Alamitos Blvd, Suite 215, Los Alamitos, CA 90720-3602Phone(714) 833-1569Fax(562) 981-2622Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense41774California