Individual ProviderAgnieszka Gryguc-SaxanoffInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249(310) 319-4698PECOS EnrollmentBased on the most recent information from CMS, provider Agnieszka Gryguc-Saxanoff 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 ID1588155287Provider TypeIndividualFull NameGryguc-Saxanoff, AgnieszkaGenderFemaleSole ProprietorNoEnumeration Date5/29/2018Last Updated11/9/2021Contact 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 PhysiciansLicenseA174731CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA174731California