Individual ProviderBahman BadieInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384(949) 364-6000(949) 282-1671PECOS EnrollmentBased on the most recent information from CMS, provider Bahman Badie 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 ID1396721916Provider TypeIndividualFull NameBadie, BahmanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/15/2005Last Updated10/15/2021Contact InformationPractice LocationPractice Address26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384Phone(949) 364-6000Fax(949) 364-1204Mailing LocationMailing Address26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330Phone(949) 282-1671Fax(949) 367-0518Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA55163CaliforniaProvider IdentifiersIDDescriptionIssuerID00A551630DescriptionMedicaidIssuerUnlistedCalifornia