OrganizationBahareh B Khavarian Md IncInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27725 Santa Margarita Pkwy, Suite 108, Mission Viejo, CA 92691-6704(949) 916-8770PECOS EnrollmentBased on the most recent information from CMS, provider Bahareh B Khavarian Md Inc 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 34 days ago.Profile DetailsProvider ID1962573311Provider TypeOrganizationFull NameBahareh B Khavarian Md IncSubpartNoEnumeration Date11/9/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address27725 Santa Margarita Pkwy, Suite 108, Mission Viejo, CA 92691-6704Phone(949) 916-8770Fax(949) 916-8769Mailing LocationMailing Address27725 Santa Margarita Pkwy, Suite 108, Mission Viejo, CA 92691-6704Phone(949) 916-8770Fax(949) 916-8769Authorized OfficialNameKhavarian, Bahareh Bahadori (President)Phone(949) 916-8770Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA79841California