Individual ProviderArousha DavatgarzadehInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26357 Mcbean Pkwy, Valencia, CA 91355-4488(661) 222-2605(818) 837-5637PECOS EnrollmentBased on the most recent information from CMS, provider Arousha Davatgarzadeh 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 today at 10:04 AM.Profile DetailsProvider ID1033213111Provider TypeIndividualFull NameDavatgarzadeh, AroushaCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/11/2006Last Updated11/22/2021Contact InformationPractice LocationPractice Address26357 Mcbean Pkwy, Valencia, CA 91355-4488Phone(661) 222-2605Fax(661) 222-2694Mailing LocationMailing AddressPO Box 9602, Mission Hills, CA 91346-9602Phone(818) 837-5637Fax(818) 837-5589Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA92753CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense240730New YorkProvider IdentifiersIDDescriptionIssuerID00A927530DescriptionMedicaidIssuerUnlistedCalifornia