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INNOVATIVE MEDICAL GROUP INC
NPI 1821332503
Emergency Medicine in Burbank, CA

Active since November 19, 2012
372 E OLIVE AVE, BURBANK, CA 91502(818) 558-3777(818) 558-3778 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE MEDICAL GROUP INC (NPI 1821332503) is a healthcare organization registered as an emergency medicine in Burbank, California and active in the NPI registry since November 2012. The organization lists Hrak Derderian, Ceo / Medical Director, as its authorized official.

NPPES Registry Identity

NPI1821332503
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameINNOVATIVE MEDICAL GROUP INC
Location Address372 E OLIVE AVEBurbank, CA 91502-1215
Mailing Address372 E Olive AveBurbank, CA 91502-1215 · (818) 558-3777 · Fax (818) 558-3778
Phone(818) 558-3777
Fax(818) 558-3778
Organization SubpartNo
Authorized OfficialHrak DerderianCeo / Medical Director · (818) 558-3777
Enumeration DateNovember 19, 2012
Last NPPES UpdateJuly 26, 2013
✔ NPI 1821332503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A92365
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
372 E OLIVE AVE, Burbank, CA 91502
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Other Identifiers 2

MedicaidA92365CA
Medicare PINCV083YCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERGEY MAHTESYAN D.D.S.
Dentist (General Practice)
372 E OLIVE AVE
BURBANK, CA 91502
Los Angeles County (818) 450-5000
DR. VAHAGN JACK KESHISHYAN D.C.
Chiropractor
372 E OLIVE AVE
BURBANK, CA 91502
Los Angeles County (818) 954-0747
GOR BARSEGHYAN, DMD, APC
Clinic/Center (Dental)
372 E OLIVE AVE
BURBANK, CA 91502
Los Angeles County (818) 450-5000
VARON CHIROPRACTIC CENTER INC.
Chiropractor
372 E OLIVE AVE
BURBANK, CA 91502
Los Angeles County (818) 954-0747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Medical Group Inc's NPI number?

The NPI number for Innovative Medical Group Inc is 1821332503. It was assigned to this organization in the NPPES registry on November 19, 2012.

Where is Innovative Medical Group Inc located?

Innovative Medical Group Inc is located at 372 E Olive Ave, Burbank, CA 91502. The listed phone number is (818) 558-3777.

What is Innovative Medical Group Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Innovative Medical Group Inc was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.