Individual ProviderNazli AhmedFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1190 W. Baker Street, Suite 100, Costa Mesa, CA 92626-4105(714) 668-2500(657) 241-3600PECOS EnrollmentBased on the most recent information from CMS, provider Nazli Ahmed 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 ID1861605461Provider TypeIndividualFull NameAhmed, NazliTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/8/2007Last Updated12/31/2015Contact InformationPractice LocationPractice Address1190 W. Baker Street, Suite 100, Costa Mesa, CA 92626-4105Phone(714) 668-2500Fax(714) 668-2515Mailing LocationMailing AddressPO Box 3699, Newport Beach, CA 92659-8699Phone(657) 241-3600Fax(657) 241-7708Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA34744CaliforniaProvider IdentifiersIDDescriptionIssuerID00A347440DescriptionMedicaidIssuerUnlistedCalifornia