Individual ProviderMaria Guadalupe ChamorroCase Manager/Care CoordinatorOther Service ProvidersPractice Address45111 Fern Ave, Lancaster, CA 93534-2301(661) 949-1206PECOS EnrollmentBased on the most recent information from CMS, provider Maria Guadalupe Chamorro 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 ID1588179964Provider TypeIndividualFull NameChamorro, Maria GuadalupeGenderFemaleSole ProprietorNoEnumeration Date12/7/2017Last Updated1/4/2018Contact InformationPractice LocationPractice Address45111 Fern Ave, Lancaster, CA 93534-2301Phone(661) 949-1206Fax(661) 940-5452Mailing LocationMailing Address45111 Fern Ave, Lancaster, CA 93534-2301Phone(661) 949-1206FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID225400000XDescriptionMedicaidIssuerUnlistedCalifornia