Individual ProviderZaira GasanovaPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address2051 Marengo St, Los Angeles, CA 90033-1352(323) 409-1000PECOS EnrollmentBased on the most recent information from CMS, provider Zaira Gasanova 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 2 days ago.Profile DetailsProvider ID1447778816Provider TypeIndividualFull NameGasanova, ZairaGenderFemaleSole ProprietorNoEnumeration Date9/6/2017Last Updated6/27/2024Contact InformationPractice LocationPractice Address2051 Marengo St, Los Angeles, CA 90033-1352Phone(323) 409-1000FaxUnlisted FaxMailing LocationMailing Address2051 Marengo St, Los Angeles, CA 90033-1352PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA185361California