Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Medical Group Inc

Organization Emergency Medicine Physician · NPI 1821332503

Innovative Medical Group Inc is an Emergency Medicine Physician in Burbank, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

372 E Olive Ave
Burbank, CA 91502-1215
Phone: (818) 558-3777
Fax: (818) 558-3778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A92365 (CA)

Record details

NPI number1821332503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hrak Derderian — Ceo / Medical Director · (818) 558-3777
NPI enumeratedNovember 19, 2012
Last updated in NPPESJuly 26, 2013
Mailing address372 E Olive Ave, Burbank, CA 91502-1215

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