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 2 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