Individual ProviderBill KaloostianInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2242 Cheswic Ln, Los Angeles, CA 90027-1134(323) 663-7986PECOS EnrollmentBased on the most recent information from CMS, provider Bill Kaloostian 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 3 days ago.Profile DetailsProvider ID1184842197Provider TypeIndividualFull NameKaloostian, BillTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date4/23/2007Last Updated10/13/2021Contact InformationPractice LocationPractice Address2242 Cheswic Ln, Los Angeles, CA 90027-1134Phone(323) 663-7986FaxUnlisted FaxMailing LocationMailing Address2242 Cheswic Ln, Los Angeles, CA 90027-1134Phone(323) 663-7986FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA40261California