Organization
MERCY ASSOCIATED PEDIATRICS SUBSPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIAD MARDOUM M.D. (CEO)
(619) 260-7046
Entity
Organization
Contact information
Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7046
Mailing address
PO BOX 33855, SAN DIEGO, CA 92163-3855
(619) 401-4016
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057900
—
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us