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General NPI Number Information
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NPI Number | 1811848013
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Entity Type | Organization
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Legal Business Name | ATLAX MEDICAL GROUP INC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 4119 W BURBANK BLVD STE 159
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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 | 818-274-7424
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Fax | 818-797-3839
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Provider Business Mailing Address
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Address Line | 4119 W BURBANK BLVD STE 159
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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 | 818-274-7424
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Fax | 818-797-3839
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | IZABEL SARKISYAN
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Credential | FNP
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Telephone | 818-274-7424
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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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