Individual ProviderAnthony Gurgius YassaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressMob#44 301 The City Drive South, Orange, CA 92868(714) 836-2736PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Gurgius Yassa 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 yesterday at 9:43 AM.Profile DetailsProvider ID1780366120Provider TypeIndividualFull NameYassa, Anthony GurgiusGenderMaleSole ProprietorYesEnumeration Date8/4/2023Last Updated8/30/2023Contact InformationPractice LocationPractice AddressMob#44 301 The City Drive South, Orange, CA 92868Phone(714) 836-2736FaxUnlisted FaxMailing LocationMailing AddressMob#44 301 The City Drive South, Orange, CA 92868PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia