Nereyda Diaz Tamyo | Los Angeles, CA • PECOS Search

Nereyda Diaz Tamyo

Counselor

Behavioral Health & Social Service Providers

5715 S Broadway, Los Angeles, CA 90037-4131

PECOS Enrollment

Based on the most recent information from CMS, provider Nereyda Diaz Tamyo does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1083404735
Provider Type
Individual
Full Name
Diaz Tamyo, Nereyda
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/7/2025
Last Updated
5/7/2025

Contact Information

Practice Location

5715 S Broadway, Los Angeles, CA 90037-4131

Unlisted Fax

Mailing Location

5715 S Broadway, Los Angeles, CA 90037-4131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License R1419270325 California