Individual ProviderRaul BanuelosPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address200 N Robertson Blvd, Suite 301, Beverly Hills, CA 90211-1769(310) 273-8256PECOS EnrollmentBased on the most recent information from CMS, provider Raul Banuelos 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 ID1497864219Provider TypeIndividualFull NameBanuelos, RaulTitleMr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date8/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address200 N Robertson Blvd, Suite 301, Beverly Hills, CA 90211-1769Phone(310) 273-8256Fax(310) 273-8542Mailing LocationMailing Address14328 Cavell Pl, Baldwin Park, CA 91706-2525PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer