Individual ProviderGiovanni S FriasNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10833 Leconte Ave, Los Angeles, CA 90095-0001(310) 206-3748PECOS EnrollmentBased on the most recent information from CMS, provider Giovanni S Frias 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 today at 11:47 AM.Profile DetailsProvider ID1699709972Provider TypeIndividualFull NameFrias, Giovanni SCredentialNPGenderMaleSole ProprietorNoEnumeration Date7/10/2006Last Updated3/14/2013Contact InformationPractice LocationPractice Address10833 Leconte Ave, Los Angeles, CA 90095-0001Phone(310) 206-3748FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631Phone(310) 206-3748FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP14888CaliforniaProvider IdentifiersIDDescriptionIssuerIDRN6057770DescriptionMedicaidIssuerUnlistedCalifornia