Individual ProviderJoshua KhaliliInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1245 16th St Ste 309, Santa Monica, CA 90404-1239(310) 319-4377(310) 301-8707PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Khalili 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 6 days ago.Profile DetailsProvider ID1073908935Provider TypeIndividualFull NameKhalili, JoshuaCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/30/2015Last Updated4/27/2019Contact InformationPractice LocationPractice Address1245 16th St Ste 309, Santa Monica, CA 90404-1239Phone(310) 319-4377Fax(310) 319-4425Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631Phone(310) 301-8707Fax(310) 301-8751Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA144809CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia