Individual ProviderGerald DavelaarMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5242 Katella Ave Ste 206, Los Alamitos, CA 90720-2867(562) 472-8906PECOS EnrollmentBased on the most recent information from CMS, provider Gerald Davelaar is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1841969862Provider TypeIndividualFull NameDavelaar, GeraldGenderMaleSole ProprietorYesEnumeration Date9/13/2021Last Updated9/13/2021Contact InformationPractice LocationPractice Address5242 Katella Ave Ste 206, Los Alamitos, CA 90720-2867Phone(562) 472-8906FaxUnlisted FaxMailing LocationMailing Address5242 Katella Ave Ste 206, Los Alamitos, CA 90720-2867Phone(562) 472-8906FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense51996California