OrganizationMehran J Khorsandi, M.D.,Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address8635 W 3rd St, Ste# 695w, Los Angeles, CA 90048-6101(310) 967-2140PECOS EnrollmentBased on the most recent information from CMS, provider Mehran J Khorsandi, M.D., 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 4 days ago.Profile DetailsProvider ID1558472589Provider TypeOrganizationFull NameMehran J Khorsandi, M.D.,SubpartNoEnumeration Date8/31/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address8635 W 3rd St, Ste# 695w, Los Angeles, CA 90048-6101Phone(310) 967-2140FaxUnlisted FaxMailing LocationMailing Address8635 W 3rd St, Ste# 695w, Los Angeles, CA 90048-6101Phone(310) 967-2140FaxUnlisted FaxAuthorized OfficialNameKhorsandi, Mehran J (Physician)Phone(310) 967-2140Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG61809California