Individual ProviderAlexander CentalaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3800 W Chapman Ave Ste 7300, Orange, CA 92868-1638(949) 338-1809PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Centala 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 yesterday at 9:43 AM.Profile DetailsProvider ID1679215644Provider TypeIndividualFull NameCentala, AlexanderGenderMaleSole ProprietorYesEnumeration Date4/11/2022Last Updated4/11/2022Contact InformationPractice LocationPractice Address3800 W Chapman Ave Ste 7300, Orange, CA 92868-1638Phone(949) 338-1809FaxUnlisted FaxMailing LocationMailing Address3800 W Chapman Ave Ste 7300, Orange, CA 92868-1638PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer