Individual ProviderCarol GonzalezCase Manager/Care CoordinatorOther Service ProvidersPractice Address44421 10th St W Ste A, Lancaster, CA 93534-3335(818) 654-3912PECOS EnrollmentBased on the most recent information from CMS, provider Carol Gonzalez 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 ID1548900236Provider TypeIndividualFull NameGonzalez, CarolGenderFemaleSole ProprietorNoEnumeration Date3/30/2022Last Updated3/30/2022Contact InformationPractice LocationPractice Address44421 10th St W Ste A, Lancaster, CA 93534-3335Phone(818) 654-3912FaxUnlisted FaxMailing LocationMailing Address18646 Oxnard St, Tarzana, CA 91356-1411PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer