Individual ProviderMichelle GonzalezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address110 S Garfield Ave, Montebello, CA 90640-3810(323) 869-9255(626) 285-4326PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Gonzalez 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 yesterday at 12:14 PM.Profile DetailsProvider ID1376677815Provider TypeIndividualFull NameGonzalez, MichelleTitleMrs.CredentialBAGenderFemaleSole ProprietorNoEnumeration Date3/15/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address110 S Garfield Ave, Montebello, CA 90640-3810Phone(323) 869-9255FaxUnlisted FaxMailing LocationMailing Address5501 N Del Loma Ave, San Gabriel, CA 91776-1649Phone(626) 285-4326FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer