Individual ProviderEri HirofujiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Ucla Medical Plz Ste 120, Los Angeles, CA 90095-4054(310) 206-6909(310) 301-8707PECOS EnrollmentBased on the most recent information from CMS, provider Eri Hirofuji 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 today at 11:47 AM.Profile DetailsProvider ID1184099335Provider TypeIndividualFull NameHirofuji, EriCredentialNURSE PRACTITIONERGenderFemaleSole ProprietorYesEnumeration Date12/13/2015Last Updated11/8/2023Contact InformationPractice LocationPractice Address200 Ucla Medical Plz Ste 120, Los Angeles, CA 90095-4054Phone(310) 206-6909FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone(310) 301-8707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95002825CaliforniaCode363LA2100XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95002825California