Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MERCY MEDICAL GROUP OF SPECIALISTS
Active
Organization
MERCY MEDICAL GROUP OF SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAKHRIRAN GHAHARI MD (MEDICAL DIRECTOR)
(818) 845-6800
Entity
Organization
Contact information
Practice address
421 E ANGELENO AVE STE 102, BURBANK, CA 91501-2286
(818) 845-6800
(818) 843-7871
Mailing address
421 E ANGELENO AVE STE 102, BURBANK, CA 91501-2286
(818) 845-6800
(818) 843-7871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700898269
NPI
CA
Enumeration date
08/13/2006
Last updated
09/10/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up