Healthcare Provider Details

I. General information

NPI: 1811848013
Provider Name (Legal Business Name): ATLAX MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4119 W BURBANK BLVD STE 159
BURBANK CA
91505-2122
US

IV. Provider business mailing address

4119 W BURBANK BLVD STE 159
BURBANK CA
91505-2122
US

V. Phone/Fax

Practice location:
  • Phone: 818-274-7424
  • Fax: 818-797-3839
Mailing address:
  • Phone: 818-274-7424
  • Fax: 818-797-3839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: IZABEL SARKISYAN
Title or Position: PRESIDENT/CEO
Credential: FNP
Phone: 818-274-7424