Individual ProviderBojan CercekInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8700 Beverly Blvd., Los Angeles, CA 90048-1804(310) 967-1884PECOS EnrollmentBased on the most recent information from CMS, provider Bojan Cercek 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 4 days ago.Profile DetailsProvider ID1467413799Provider TypeIndividualFull NameCercek, BojanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/28/2006Last Updated9/3/2015Contact InformationPractice LocationPractice Address8700 Beverly Blvd., Los Angeles, CA 90048-1804Phone(310) 967-1884Fax(310) 967-1744Mailing LocationMailing AddressPO Box 512717, Los Angeles, CA 90051-0717Phone(310) 967-1884Fax(310) 967-1744Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA44874CaliforniaCode174400000XDescriptionSpecialistOther Service ProvidersLicenseA44874California