OrganizationMinerva Mental Health P.C.Psychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address4448 Ambrose Ave, Los Angeles, CA 90027-2115(323) 644-1998PECOS EnrollmentBased on the most recent information from CMS, provider Minerva Mental Health P.C. 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 34 days ago.Profile DetailsProvider ID1982140901Provider TypeOrganizationFull NameMinerva Mental Health P.C.SubpartNoEnumeration Date1/13/2017Last Updated1/13/2017Contact InformationPractice LocationPractice Address4448 Ambrose Ave, Los Angeles, CA 90027-2115Phone(323) 644-1998Fax(323) 644-2600Mailing LocationMailing Address4448 Ambrose Ave, Los Angeles, CA 90027-2115Phone(323) 644-1998Fax(323) 644-2600Authorized OfficialNameStefanovic, Milica (President)Phone(323) 644-1998Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA91413California