Individual ProviderMehran MosleyPediatricsAllopathic & Osteopathic PhysiciansPractice Address770 Welch Rd Ste 100, Palo Alto, CA 94304-1505(650) 497-8000(650) 503-3180PECOS EnrollmentBased on the most recent information from CMS, provider Mehran Mosley 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 2 days ago.Profile DetailsProvider ID1043423965Provider TypeIndividualFull NameMosley, MehranTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/7/2007Last Updated6/20/2013Contact InformationPractice LocationPractice Address770 Welch Rd Ste 100, Palo Alto, CA 94304-1505Phone(650) 497-8000FaxUnlisted FaxMailing LocationMailing AddressPO Box 65, Palo Alto, CA 94302-0065Phone(650) 503-3180FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseC53365CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense4802AlaskaProvider IdentifiersIDDescriptionIssuerIDMD90741DescriptionMedicaidIssuerUnlistedAlaska