Look up the most recent NPI and PECOS records

Layla Ghazzagh

Social Worker

Behavioral Health & Social Service Providers

2401 Merced St, San Leandro, CA 94577-4228

PECOS Enrollment

Based on the most recent information from CMS, provider Layla Ghazzagh is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053477836
Provider Type
Individual
Full Name
Ghazzagh, Layla
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/28/2006
Last Updated
1/3/2022

Contact Information

Practice Location

2401 Merced St, San Leandro, CA 94577-4228

(510) 618-5990

Unlisted Fax

Mailing Location

2401 Merced St, San Leandro, CA 94577-4228

(510) 618-5990

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCS 22547 California

Layla Ghazzagh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wong, Danamonique

Grimm, Norma P.

Goitia, Denise

Shing, Susan V.L.

Shah, Kalyani Kalpen

Green, Brian Eugene

Katuala, Colette

Moore, Tova

Rosen, Andrew

Bass, Jessica