# MEHDI FAKHRAI MD, F.I.C.S., F.A.C.S., MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487234316
- **Authorized official:** DR. MEHDI FAKHRAI MD (PRESIDENT)
- **Authorized official phone:** (818) 898-3939

## Contact information

- **Practice address:** 10605 BALBOA BLVD STE 225, GRANADA HILLS, CA 91344-6376
- **Practice address phone:** (818) 898-3939
- **Practice address fax:** (818) 898-1663
- **Mailing address:** 10605 BALBOA BLVD STE 225, GRANADA HILLS, CA 91344-6376
- **Mailing address phone:** (818) 898-3939
- **Mailing address fax:** (818) 898-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2021
- **Last updated:** 04/14/2021