Look up the most recent NPI and PECOS records

Mehran J Khorsandi

Internal Medicine

Allopathic & Osteopathic Physicians

8635 W 3rd St, Ste# 695w, Los Angeles, CA 90048-6101

PECOS Enrollment

This provider is enrolled in PECOS as MEHRAN KHORSANDI.

Based on the most recent information from CMS, provider Mehran J Khorsandi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1558340034
Provider Type
Individual
Full Name
Khorsandi, Mehran J
Credential
M.D.,

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/12/2006
Last Updated
3/28/2017

Contact Information

Practice Location

8635 W 3rd St, Ste# 695w, Los Angeles, CA 90048-6101

(310) 967-2140

Unlisted Fax

Mailing Location

8635 W 3rd St, Ste# 695w, Los Angeles, CA 90048-6101

(310) 967-2140

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RC0000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G61809 California
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License G61809 California

Mehran J Khorsandi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gulati, Martha

Jones, Erika Lynn

Anna Milstein, M.D., Inc.

Marano, Paul J

Shaw, Robin M.

Center For Advanced Cardiac And Vascular Interventions

Jay L Jordan M D A Medical Corporation

Bullock, Andrew G.

Jay N Schapira M D Inc A Professional Corporation

Zaidi, Seyed Mohammad