Gerardo D Olmos | San Diego, CA • PECOS Search

Gerardo D Olmos

Behavior Technician

Behavioral Health & Social Service Providers

9620 Chesapeake Drive Suite 105, Suite 105, San Diego, CA 92123

PECOS Enrollment

Based on the most recent information from CMS, provider Gerardo D Olmos 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1225621212
Provider Type
Individual
Full Name
Olmos, Gerardo D
Gender
Male

Sole Proprietor
No
Enumeration Date
2/19/2021
Last Updated
2/19/2021

Contact Information

Practice Location

9620 Chesapeake Drive Suite 105, Suite 105, San Diego, CA 92123

Unlisted Fax

Mailing Location

9620 Chesapeake Drive Suite 105, San Diego, CA 92123

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License BACB526474 California