MERCY MEDICAL GROUP OF SPECIALISTS NPI 1700898269

NPI Information

MERCY MEDICAL GROUP OF SPECIALISTS is a family medicine in Burbank, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCY MEDICAL GROUP OF SPECIALISTS NPI is 1700898269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 E ANGELENO AVE STE 102
BURBANK, CA
ZIP 91501-286
Phone: (818) 845-6800
Fax: (818) 843-7871

The provider's authorized official is Fakhriran Ghahari .
The authorized official title is Medical Director and has the following contact phone number (818) 845-6800.

The CLIA number assigned to this NPI record is 05D0873700 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 9/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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