Individual ProviderCharlotte LipskyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Ucla Medical Plz Ste 365b, Los Angeles, CA 90095-8344(310) 825-7921(310) 301-8771PECOS EnrollmentBased on the most recent information from CMS, provider Charlotte Lipsky 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 11 days ago.Profile DetailsProvider ID1922778042Provider TypeIndividualFull NameLipsky, CharlotteGenderFemaleSole ProprietorNoEnumeration Date9/20/2021Last Updated11/15/2021Contact InformationPractice LocationPractice Address200 Ucla Medical Plz Ste 365b, Los Angeles, CA 90095-8344Phone(310) 825-7921FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Los Angeles, CA 90045-5631Phone(310) 301-8771FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95018461California