Individual ProviderGhassan KabbachInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27700 Medical Center Rd, Mission Viejo, CA 92691-6426(949) 365-2468(805) 456-6349PECOS EnrollmentBased on the most recent information from CMS, provider Ghassan Kabbach 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 34 days ago.Profile DetailsProvider ID1730596040Provider TypeIndividualFull NameKabbach, GhassanTitleDr.CredentialM.DGenderMaleSole ProprietorYesEnumeration Date7/18/2014Last Updated7/3/2025Contact InformationPractice LocationPractice Address27700 Medical Center Rd, Mission Viejo, CA 92691-6426Phone(949) 365-2468Fax(949) 365-3896Mailing LocationMailing Address200 W Center Street Promenade, Anaheim, CA 92805-3960Phone(805) 456-6349FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseC193091CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense53863ArizonaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseMD2022-1193New Mexico