Individual ProviderBrian O'DonnellStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address20 E River Park Pl W, Fresno, CA 93720-1551(559) 256-4950(916) 698-1513PECOS EnrollmentBased on the most recent information from CMS, provider Brian O'Donnell 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 ID1679463186Provider TypeIndividualFull NameO'Donnell, BrianGenderMaleSole ProprietorYesEnumeration Date7/7/2025Last Updated7/7/2025Contact InformationPractice LocationPractice Address20 E River Park Pl W, Fresno, CA 93720-1551Phone(559) 256-4950FaxUnlisted FaxMailing LocationMailing Address5633 Monalee Ave, Sacramento, CA 95819-2423Phone(916) 698-1513FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer