Individual ProviderBrandon MazalStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868(714) 456-5691(818) 809-7888PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Mazal 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 ID1912656570Provider TypeIndividualFull NameMazal, BrandonGenderMaleSole ProprietorNoEnumeration Date3/21/2022Last Updated3/21/2022Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868Phone(714) 456-5691FaxUnlisted FaxMailing LocationMailing Address5436 Alfonso Dr, Agoura Hills, CA 91301-4004Phone(818) 809-7888FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer