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General NPI Number Information
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NPI Number | 1023974235
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Entity Type | Organization
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Legal Business Name | HEALX MEDICAL GROUP INC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 4119 W BURBANK BLVD STE 151
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City | BURBANK
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State | CA
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Zip | 91505-2122
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Country | US
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Telephone | 818-572-2770
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Fax | 818-854-7662
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Provider Business Mailing Address
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Address Line | 4119 W BURBANK BLVD STE 151
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City | BURBANK
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State | CA
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Zip | 91505-2122
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Country | US
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Telephone | 818-572-2770
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Fax | 818-854-7662
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | HERMINEE TITIZYAN
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Credential | FNP
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Telephone | 818-268-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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