Individual ProviderBozorgmehr Baradar HeristchianPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address201 N Robertson Blvd, Beverly Hills, CA 90211-1729(404) 303-7647(310) 780-1893PECOS EnrollmentBased on the most recent information from CMS, provider Bozorgmehr Baradar Heristchian 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 ID1609475706Provider TypeIndividualFull NameBaradar Heristchian, BozorgmehrCredentialDPTGenderMaleSole ProprietorNoEnumeration Date10/20/2020Last Updated10/20/2020Contact InformationPractice LocationPractice Address201 N Robertson Blvd, Beverly Hills, CA 90211-1729Phone(404) 303-7647FaxUnlisted FaxMailing LocationMailing Address11231 Pickford St, Los Angeles, CA 90064-3120Phone(310) 780-1893FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense299164California