Individual ProviderTheingi OoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1300 N Vermont Ave, Suite 407, Los Angeles, CA 90027-6005(323) 662-0492(407) 390-1677PECOS EnrollmentBased on the most recent information from CMS, provider Theingi Oo 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 3 days ago.Profile DetailsProvider ID1366637407Provider TypeIndividualFull NameOo, TheingiCredentialMDGenderFemaleSole ProprietorNoEnumeration Date9/12/2007Last Updated7/26/2016Contact InformationPractice LocationPractice Address1300 N Vermont Ave, Suite 407, Los Angeles, CA 90027-6005Phone(323) 662-0492Fax(323) 662-0196Mailing LocationMailing Address8390 Champions Gate Blvd, Suite 215, Champions Gate, FL 33896-8310Phone(407) 390-1677Fax(407) 390-1765Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA104545California