Individual ProviderSaman Setareh-ShenasInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8631 W 3rd St Ste 540, Los Angeles, CA 90048-5909(310) 424-5750PECOS EnrollmentBased on the most recent information from CMS, provider Saman Setareh-Shenas 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 4 days ago.Profile DetailsProvider ID1194111799Provider TypeIndividualFull NameSetareh-Shenas, SamanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/9/2015Last Updated3/24/2023Contact InformationPractice LocationPractice Address8631 W 3rd St Ste 540, Los Angeles, CA 90048-5909Phone(310) 424-5750Fax(310) 721-9339Mailing LocationMailing Address8631 W 3rd St Ste 540, Los Angeles, CA 90048-5909Phone(310) 424-5750Fax(310) 721-9339Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA170539CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA170539CaliforniaCode207UN0901XDescriptionNuclear MedicineAllopathic & Osteopathic PhysiciansLicenseA170539California