Individual ProviderAlexander JorgensenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address201 N Robertson Blvd Ste 101, Beverly Hills, CA 90211-1729(424) 303-7647(209) 481-6380PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Jorgensen 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 ID1538987888Provider TypeIndividualFull NameJorgensen, AlexanderCredentialDPTGenderMaleSole ProprietorYesEnumeration Date9/26/2024Last Updated9/26/2024Contact InformationPractice LocationPractice Address201 N Robertson Blvd Ste 101, Beverly Hills, CA 90211-1729Phone(424) 303-7647FaxUnlisted FaxMailing LocationMailing Address595 S Ogden Dr, Los Angeles, CA 90036-3201Phone(209) 481-6380FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense306805California