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 2 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