Individual ProviderGregory GorraizPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029(323) 409-5555PECOS EnrollmentBased on the most recent information from CMS, provider Gregory Gorraiz 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 ID1861133969Provider TypeIndividualFull NameGorraiz, GregoryCredentialMDGenderMaleSole ProprietorYesEnumeration Date4/5/2022Last Updated5/16/2024Contact InformationPractice LocationPractice Address1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029Phone(323) 409-5555FaxUnlisted FaxMailing LocationMailing Address1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense189205CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer