Individual ProviderKourosh Soliman TehraniPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9001 Wilshire Blvd, 102, Beverly Hills, CA 90211-1838(310) 550-8585PECOS EnrollmentBased on the most recent information from CMS, provider Kourosh Soliman Tehrani 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 ID1760540769Provider TypeIndividualFull NameTehrani, Kourosh SolimanTitleMr.CredentialPTGenderMaleSole ProprietorNoEnumeration Date12/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address9001 Wilshire Blvd, 102, Beverly Hills, CA 90211-1838Phone(310) 550-8585Fax(310) 860-0506Mailing LocationMailing Address9001 Wilshire Blvd, 102, Beverly Hills, CA 90211-1838Phone(310) 550-8585Fax(310) 860-0506Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT18513CaliforniaProvider IdentifiersIDDescriptionIssuerIDZZZ06500ZDescriptionOtherIssuerBLUE SHIELD OF CALIFORNIACaliforniaID675803DescriptionOtherIssuerUNITED HEALTH CARECalifornia