Individual ProviderNahal Afshar-ShahidiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address4425 S Central Ave, Los Angeles, CA 90011-3629(323) 908-4200(310) 410-9661PECOS EnrollmentBased on the most recent information from CMS, provider Nahal Afshar-Shahidi 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 15 days ago.Profile DetailsProvider ID1861654204Provider TypeIndividualFull NameAfshar-Shahidi, NahalTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/26/2008Last Updated12/6/2021Contact InformationPractice LocationPractice Address4425 S Central Ave, Los Angeles, CA 90011-3629Phone(323) 908-4200Fax(323) 908-4262Mailing LocationMailing Address7215 Ogelsby Ave, Los Angeles, CA 90045-1354Phone(310) 410-9661Fax(323) 908-4262Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA97491California