Individual ProviderBruce SeligsohnInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27001 La Paz Rd, #294, Mission Viejo, CA 92691-5502(949) 588-8775PECOS EnrollmentBased on the most recent information from CMS, provider Bruce Seligsohn 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 2 days ago.Profile DetailsProvider ID1992745608Provider TypeIndividualFull NameSeligsohn, BruceCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date6/8/2006Last Updated12/30/2016Contact InformationPractice LocationPractice Address27001 La Paz Rd, #294, Mission Viejo, CA 92691-5502Phone(949) 588-8775Fax(949) 588-9005Mailing LocationMailing Address26302 La Paz Rd, Ste 211, Mission Viejo, CA 92691-5328Phone(949) 588-8775Fax(949) 588-9005Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG62830California