Individual ProviderSophay DuchSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1850 Fairway Dr, San Leandro, CA 94577-5629(510) 828-1195PECOS EnrollmentBased on the most recent information from CMS, provider Sophay Duch 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 3 days ago.Profile DetailsProvider ID1861169187Provider TypeIndividualFull NameDuch, SophayGenderFemaleSole ProprietorNoEnumeration Date8/24/2021Last Updated8/24/2021Contact InformationPractice LocationPractice Address1850 Fairway Dr, San Leandro, CA 94577-5629Phone(510) 828-1195FaxUnlisted FaxMailing LocationMailing Address535 W Merle Ct, San Leandro, CA 94577-2040Phone(510) 828-1195FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense99584California