Individual ProviderJanet CharoensookPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State St, Los Angeles, CA 90033(323) 409-5244(323) 409-5751PECOS EnrollmentBased on the most recent information from CMS, provider Janet Charoensook 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 ID1073929287Provider TypeIndividualFull NameCharoensook, JanetCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date7/8/2014Last Updated7/6/2018Contact InformationPractice LocationPractice Address1200 N State St, Los Angeles, CA 90033Phone(323) 409-5244FaxUnlisted FaxMailing LocationMailing Address1200 N State St, Los Angeles, CA 90033-1029Phone(323) 409-5751FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA144515California