Individual ProviderCindy TamaeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095(310) 794-7788PECOS EnrollmentBased on the most recent information from CMS, provider Cindy Tamae 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 11 days ago.Profile DetailsProvider ID1639548233Provider TypeIndividualFull NameTamae, CindyTitleMs.CredentialNPGenderFemaleSole ProprietorYesEnumeration Date9/24/2015Last Updated1/2/2020Contact InformationPractice LocationPractice Address200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095Phone(310) 794-7788Fax(310) 794-1039Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95003113CaliforniaProvider IdentifiersIDDescriptionIssuerID95003113DescriptionOtherIssuerNP, FURNISHING NUMBERCaliforniaID778337DescriptionOtherIssuerREGISTERED NURSECalifornia