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Thomas R Garrick

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS GARRICK.

Based on the most recent information from CMS, provider Thomas R Garrick is legally eligible to order and refer claims for DME and PMD services only.

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

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1134219231
Provider Type
Individual
Full Name
Garrick, Thomas R
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/13/2006
Last Updated
11/27/2023

Contact Information

Practice Location

1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310

(323) 442-6000

Unlisted Fax

Mailing Location

PO Box 31309, Los Angeles, CA 90031-0309

(323) 442-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License G44849 California

Thomas R Garrick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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