Individual ProviderMichiko ShimizuCase Manager/Care CoordinatorOther Service ProvidersPractice Address506 W Jackman St, Lancaster, CA 93534-2531(562) 437-6717(661) 285-7925PECOS EnrollmentBased on the most recent information from CMS, provider Michiko Shimizu 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 ID1649552118Provider TypeIndividualFull NameShimizu, MichikoGenderFemaleSole ProprietorNoEnumeration Date9/12/2011Last Updated9/12/2011Contact InformationPractice LocationPractice Address506 W Jackman St, Lancaster, CA 93534-2531Phone(562) 437-6717FaxUnlisted FaxMailing LocationMailing Address4160 E Avenue R, #3-101, Palmdale, CA 93552-4588Phone(661) 285-7925FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer