Robert Bruce Gray | Long Beach, CA • PECOS Search

Robert Bruce Gray

Counselor

Behavioral Health & Social Service Providers

1975 Long Beach Blvd, #170, Long Beach, CA 90806-5501

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Bruce Gray does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1619246915
Provider Type
Individual
Full Name
Gray, Robert Bruce
Gender
Male

Sole Proprietor
Yes
Enumeration Date
12/15/2011
Last Updated
7/16/2015

Contact Information

Practice Location

1975 Long Beach Blvd, #170, Long Beach, CA 90806-5501

Unlisted Fax

Mailing Location

1975 Long Beach Blvd., Long Beach, CA 90806

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 32042 California