MEDICARE: HEALX MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1023974235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALX MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	4119 W BURBANK BLVD STE 151
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2122
Country	:	US
Telephone Number	:	818-572-2770
Fax Number	:	818-854-7662

Provider Business Practice Location Address
First Line	:	4119 W BURBANK BLVD STE 151
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2122
Country	:	US
Telephone Number	:	818-572-2770
Fax Number	:	818-854-7662

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	HERMINEE TITIZYAN
Credential	:	FNP
Telephone Number	:	818-268-0258

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

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