Individual ProviderEmma Eulalia GomezSocial WorkerBehavioral Health & Social Service ProvidersPractice Address433 Callan Ave Ste 309, San Leandro, CA 94577-4641(510) 380-6146PECOS EnrollmentThis provider is enrolled in PECOS as EMMA GOMEZ.Based on the most recent information from CMS, provider Emma Eulalia Gomez is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407465461Provider TypeIndividualFull NameGomez, Emma EulaliaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/27/2020Last Updated7/31/2020Contact InformationPractice LocationPractice Address433 Callan Ave Ste 309, San Leandro, CA 94577-4641Phone(510) 380-6146FaxUnlisted FaxMailing LocationMailing Address433 Callan Ave Ste 309, San Leandro, CA 94577-4641Phone(510) 380-6146FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense73048California