Individual ProviderNico ContiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249(310) 319-4698PECOS EnrollmentBased on the most recent information from CMS, provider Nico Conti 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 5 days ago.Profile DetailsProvider ID1538690870Provider TypeIndividualFull NameConti, NicoGenderMaleSole ProprietorNoEnumeration Date3/27/2017Last Updated3/7/2023Contact InformationPractice LocationPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249Phone(310) 319-4698FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA169448CaliforniaProvider IdentifiersIDDescriptionIssuerIDA169448DescriptionOtherIssuerSTATE LICENSECalifornia