NPI Code Details Logo

NPI 1750240503

NPI 1750240503 : AXIS PSYCHIATRIC SERVICES, PC : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750240503
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AXIS PSYCHIATRIC SERVICES, PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/19/2026
-----------------------------------------------------
    Last Update Date     |    01/19/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13323 W WASHINGTON BLVD STE 202 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90066-5163
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    213-762-0690
-----------------------------------------------------
    Fax                  |    213-762-0732
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    17415 HEMMINGWAY ST 
-----------------------------------------------------
    City                 |    NORTHRIDGE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91325-4434
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    213-762-0690
-----------------------------------------------------
    Fax                  |    213-762-0732
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT
-----------------------------------------------------
    Name                 |     OLGA  TSOY 
-----------------------------------------------------
    Credential           |    PMHNP-BC
-----------------------------------------------------
    Telephone            |    323-821-1874
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.