Look up the most recent NPI and PECOS records

Bahareh Bahadori Khavarian

Internal Medicine

Allopathic & Osteopathic Physicians

27725 Santa Margarita Pkwy, Suite 108, Mission Viejo, CA 92691-6704

PECOS Enrollment

This provider is enrolled in PECOS as BAHAREH KHAVARIAN.

Based on the most recent information from CMS, provider Bahareh Bahadori Khavarian 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 2 days ago.

Profile Details

Provider ID
1780620328
Provider Type
Individual
Full Name
Khavarian, Bahareh Bahadori
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/21/2006
Last Updated
9/12/2016

Contact Information

Practice Location

27725 Santa Margarita Pkwy, Suite 108, Mission Viejo, CA 92691-6704

(949) 916-8770

(949) 916-8769

Mailing Location

320 Superior Ave, Ste 320, Newport Beach, CA 92663-2742

(949) 916-8770

(949) 916-8769

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A79841 California

Bahareh Bahadori Khavarian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Badie, Mehrnaz

Margolis, Murray L

Noorian, Nader

Pratt, Donald J

Lu, Leslie I

Joy, Gregory J

Manasson, Katherine

Wadell, Chad Allen

Pacific Hospitalist Associates A Medical Corporation

Le, Alyssa Khanh-Van