Individual ProviderJairo GomezPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1700 E Cesar Chavez Ave, Ste 3300, Los Angeles, CA 90033-2424(323) 265-4023PECOS EnrollmentBased on the most recent information from CMS, provider Jairo Gomez 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 2 days ago.Profile DetailsProvider ID1417055104Provider TypeIndividualFull NameGomez, JairoTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date9/20/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address1700 E Cesar Chavez Ave, Ste 3300, Los Angeles, CA 90033-2424Phone(323) 265-4023Fax(323) 265-4053Mailing LocationMailing Address1700 E Cesar Chavez Ave, Ste 3300, Los Angeles, CA 90033-2424Phone(323) 265-4023Fax(323) 265-4053Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseC38279California