Individual ProviderSean DelshadInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249(310) 319-4698PECOS EnrollmentBased on the most recent information from CMS, provider Sean Delshad 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 2 days ago.Profile DetailsProvider ID1265894257Provider TypeIndividualFull NameDelshad, SeanCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/28/2016Last Updated8/1/2019Contact InformationPractice LocationPractice Address1250 16th St # C2304, Santa Monica, CA 90404-1249Phone(310) 319-4698FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Suite 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA153480CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA153480California