OrganizationAmerico Simonini, M.D.,Prof CorpInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8635 W 3rd St, 750w, Los Angeles, CA 90048-6101(310) 659-2030PECOS EnrollmentBased on the most recent information from CMS, provider Americo Simonini, M.D.,Prof Corp 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 4 days ago.Profile DetailsProvider ID1538320619Provider TypeOrganizationFull NameAmerico Simonini, M.D.,Prof CorpSubpartNoEnumeration Date6/20/2008Last Updated11/8/2010Contact InformationPractice LocationPractice Address8635 W 3rd St, 750w, Los Angeles, CA 90048-6101Phone(310) 659-2030Fax(310) 659-1369Mailing LocationMailing Address8635 W 3rd St, 750w, Los Angeles, CA 90048-6101Phone(310) 659-2030Fax(310) 659-1369Authorized OfficialNameSimonini, Americo (President)Phone(310) 659-2030Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG73109CaliforniaProvider IdentifiersIDDescriptionIssuerID00G73109DescriptionMedicaidIssuerUnlistedCalifornia