Individual ProviderJordan BrafmanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive South, Rt. 128-01, Orange, CA 92868(714) 456-5239PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Brafman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1871358978Provider TypeIndividualFull NameBrafman, JordanGenderMaleSole ProprietorNoEnumeration Date2/19/2024Last Updated3/18/2024Contact InformationPractice LocationPractice Address101 The City Drive South, Rt. 128-01, Orange, CA 92868Phone(714) 456-5239FaxUnlisted FaxMailing LocationMailing Address101 The City Drive South, Rt. 128-01, Orange, CA 92868Phone(714) 456-5239FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer