OrganizationKhosro Vahid, M.D. A Medical CorporationFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2121 S San Pedro St, Suite E, Los Angeles, CA 90011-1160(213) 742-0300PECOS EnrollmentBased on the most recent information from CMS, provider Khosro Vahid, M.D. A Medical Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1205175775Provider TypeOrganizationFull NameKhosro Vahid, M.D. A Medical CorporationSubpartNoEnumeration Date2/4/2013Last Updated2/4/2013Contact InformationPractice LocationPractice Address2121 S San Pedro St, Suite E, Los Angeles, CA 90011-1160Phone(213) 742-0300Fax(213) 746-0044Mailing LocationMailing Address2121 S San Pedro St, Suite E, Los Angeles, CA 90011-1160Phone(213) 742-0300Fax(213) 746-0044Authorized OfficialNameVahid, Khosro (President)Phone(213) 304-3742Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA42627CaliforniaProvider IdentifiersIDDescriptionIssuerID00A426270DescriptionMedicaidIssuerUnlistedCalifornia