Individual ProviderEhsan KhayambashiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211-6001(310) 273-8256PECOS EnrollmentBased on the most recent information from CMS, provider Ehsan Khayambashi 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 ID1275233553Provider TypeIndividualFull NameKhayambashi, EhsanTitleDr.CredentialDPTGenderMaleSole ProprietorYesEnumeration Date3/6/2023Last Updated3/6/2023Contact InformationPractice LocationPractice Address200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211-6001Phone(310) 273-8256FaxUnlisted FaxMailing LocationMailing Address200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211-6001Phone(310) 273-8256FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense303682CaliforniaProvider IdentifiersIDDescriptionIssuerID303682DescriptionOtherIssuerLICENSE NUMBERCalifornia