Individual ProviderRaphael ToutounjianInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1526 N Edgemont St, Los Angeles, CA 90027-5260(323) 783-6830PECOS EnrollmentBased on the most recent information from CMS, provider Raphael Toutounjian 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 ID1013978428Provider TypeIndividualFull NameToutounjian, RaphaelTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/28/2006Last Updated9/3/2021Contact InformationPractice LocationPractice Address1526 N Edgemont St, Los Angeles, CA 90027-5260Phone(323) 783-6830FaxUnlisted FaxMailing LocationMailing Address1526 N Edgemont St, 7th Floor, Los Angeles, CA 90027-5260Phone(323) 783-6830FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA80457CaliforniaProvider IdentifiersIDDescriptionIssuerIDI12842DescriptionOtherIssuerMEDICARE UPINCalifornia