Individual ProviderPauline Djoukou GhomsiCase Manager/Care CoordinatorOther Service ProvidersPractice Address44421 10th St W Ste A, Lancaster, CA 93534-3335(818) 654-3912PECOS EnrollmentBased on the most recent information from CMS, provider Pauline Djoukou Ghomsi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194405597Provider TypeIndividualFull NameGhomsi, Pauline DjoukouGenderFemaleSole ProprietorNoEnumeration Date7/20/2023Last Updated7/20/2023Contact InformationPractice LocationPractice Address44421 10th St W Ste A, Lancaster, CA 93534-3335Phone(818) 654-3912FaxUnlisted FaxMailing LocationMailing Address44421 10th St W Ste A, Lancaster, CA 93534-3335Phone(818) 654-3912FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer