Jeffrey Lee Erickson | Los Angeles, CA • PECOS Search

Jeffrey Lee Erickson

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1200 N State St, Los Angeles, CA 90033-1029

(323) 226-7975 (626) 421-6365

PECOS Enrollment

Based on the most recent information from CMS, provider Jeffrey Lee Erickson 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 2 days ago.

Profile Details

Provider ID
1306088141
Provider Type
Individual
Full Name
Erickson, Jeffrey Lee
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/25/2009
Last Updated
5/15/2015

Contact Information

Practice Location

1200 N State St, Los Angeles, CA 90033-1029

Unlisted Fax

Mailing Location

233 No. Grand Ave., Pasadena, CA 91103

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License C50487 California