MEDICARE: GERINET PHYSICIAN SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1548217011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERINET PHYSICIAN SERVICES, INC.

Provider Business Mailing Address
First Line	:	206 N 2100 W STE 202
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84116-4741
Country	:	US
Telephone Number	:	801-325-0175
Fax Number	:	801-478-3588

Provider Business Practice Location Address
First Line	:	4010 WATSON PLAZA DR STE 140
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-4047
Country	:	US
Telephone Number	:	562-904-6777
Fax Number	:	562-904-2154

Authorized Official
Title or Position	:	PRESIDENT/COO
Name	:	MR. ALEX E MAURICIO
Credential	:
Telephone Number	:	801-325-0175

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	09/24/2025

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