Organization
INNOVATIVE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HRAK DERDERIAN M.D. (CEO / MEDICAL DIRECTOR)
(818) 558-3777
Entity
Organization
Contact information
Practice address
372 E OLIVE AVE, BURBANK, CA 91502-1215
(818) 558-3777
(818) 558-3778
Mailing address
372 E OLIVE AVE, BURBANK, CA 91502-1215
(818) 558-3777
(818) 558-3778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A92365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A92365
—
CA
Enumeration date
11/19/2012
Last updated
07/26/2013
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