Individual ProviderNadezhda KoksharovaCounselorBehavioral Health & Social Service ProvidersPractice Address5436 S Broadway, Los Angeles, CA 90037-4126(323) 234-6265PECOS EnrollmentBased on the most recent information from CMS, provider Nadezhda Koksharova 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 today at 9:43 AM.Profile DetailsProvider ID1922259761Provider TypeIndividualFull NameKoksharova, NadezhdaGenderFemaleSole ProprietorYesEnumeration Date10/9/2008Last Updated10/9/2008Contact InformationPractice LocationPractice Address5436 S Broadway, Los Angeles, CA 90037-4126Phone(323) 234-6265FaxUnlisted FaxMailing LocationMailing Address5436 S Broadway, Los Angeles, CA 90037-4126Phone(323) 234-6265FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer