Individual ProviderMaral BakirNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address300 Ucla Medical Plz Ste B200, Los Angeles, CA 90095-6240(310) 794-1195PECOS EnrollmentBased on the most recent information from CMS, provider Maral Bakir 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 yesterday at 12:00 PM.Profile DetailsProvider ID1184229668Provider TypeIndividualFull NameBakir, MaralCredentialACNP AGACNP-BCGenderFemaleSole ProprietorNoEnumeration Date12/2/2020Last Updated12/6/2023Contact InformationPractice LocationPractice Address300 Ucla Medical Plz Ste B200, Los Angeles, CA 90095-6240Phone(310) 794-1195FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95015241California