Healthcare Provider Details

I. General information

NPI: 1033065388
Provider Name (Legal Business Name): AXIS PSYCHIATRIC MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 WILSHIRE BLVD STE 203
BEVERLY HILLS CA
90212-3204
US

IV. Provider business mailing address

5130 KLUMP AVE APT 710
NORTH HOLLYWOOD CA
91601-5058
US

V. Phone/Fax

Practice location:
  • Phone: 818-618-6229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANDRANIK ALAVERDYAN
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 818-618-6227