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General NPI Number Information
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NPI Number | 1033065388
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Entity Type | Organization
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Legal Business Name | AXIS PSYCHIATRIC MEDICINE PC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 9350 WILSHIRE BLVD. SUITE 203
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3204
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Country | US
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Telephone | 818-618-6229
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Fax |
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Provider Business Mailing Address
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Address Line | 5130 KLUMP AVE APT 710
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-5058
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDRANIK ALAVERDYAN
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Credential | PMHNP
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Telephone | 818-618-6227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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