Individual ProviderElham AmiriStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive South, Orange, CA 92868(949) 201-5414PECOS EnrollmentBased on the most recent information from CMS, provider Elham Amiri 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 yesterday at 9:43 AM.Profile DetailsProvider ID1497160972Provider TypeIndividualFull NameAmiri, ElhamGenderFemaleSole ProprietorYesEnumeration Date6/24/2014Last Updated6/24/2014Contact InformationPractice LocationPractice Address101 The City Drive South, Orange, CA 92868Phone(949) 201-5414FaxUnlisted FaxMailing LocationMailing Address28611 Rancho Maralena, Laguna Niguel, CA 92677-7408Phone(949) 201-5414FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer