Individual ProviderGeorge Rene EliasPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1520 San Pablo St, Suite 1652, Los Angeles, CA 90033-5310(323) 442-6000PECOS EnrollmentThis provider is enrolled in PECOS as GEORGE ELIAS.Based on the most recent information from CMS, provider George Rene Elias is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588943898Provider TypeIndividualFull NameElias, George ReneTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/4/2011Last Updated7/25/2016Contact InformationPractice LocationPractice Address1520 San Pablo St, Suite 1652, Los Angeles, CA 90033-5310Phone(323) 442-6000FaxUnlisted FaxMailing LocationMailing AddressPO Box 31309, Los Angeles, CA 90031-0309Phone(323) 442-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense134990CaliforniaProvider IdentifiersIDDescriptionIssuerIDA134990DescriptionOtherIssuerMED LICENSECalifornia