Individual ProviderFatima AshiqNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Medical Plaza Suite 490, Los Angeles, CA 90095-2403(310) 206-8000(310) 301-8707PECOS EnrollmentBased on the most recent information from CMS, provider Fatima Ashiq 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 today at 11:47 AM.Profile DetailsProvider ID1669058137Provider TypeIndividualFull NameAshiq, FatimaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date3/23/2021Last Updated1/14/2022Contact InformationPractice LocationPractice Address100 Medical Plaza Suite 490, Los Angeles, CA 90095-2403Phone(310) 206-8000Fax(310) 206-8000Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone(310) 301-8707Fax(310) 301-8751Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95015574California