Individual ProviderJennifer VarmaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address300 Medical Plz, #200, Los Angeles, CA 90095-0001(310) 825-5111(310) 301-8708PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Varma 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 today at 11:47 AM.Profile DetailsProvider ID1487679411Provider TypeIndividualFull NameVarma, JenniferCredentialNPGenderFemaleSole ProprietorNoEnumeration Date7/12/2006Last Updated7/27/2010Contact InformationPractice LocationPractice Address300 Medical Plz, #200, Los Angeles, CA 90095-0001Phone(310) 825-5111FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632Phone(310) 301-8708Fax(310) 301-8751Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense15933CaliforniaProvider IdentifiersIDDescriptionIssuerIDRN6097991DescriptionMedicaidIssuerUnlistedCalifornia