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NPI Code Detail

MEDICARE: AXIS PSYCHIATRIC SERVICES, PC

MEDICARE: AXIS PSYCHIATRIC SERVICES, PC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1750240503
Entity Type Code : Organization
Provider Name (Legal Business Name) : AXIS PSYCHIATRIC SERVICES, PC
Provider Business Mailing Address
First Line : 17415 HEMMINGWAY ST
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-4434
Country : US
Telephone Number : 213-762-0690
Fax Number : 213-762-0732
Provider Business Practice Location Address
First Line : 13323 W WASHINGTON BLVD STE 202
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-5163
Country : US
Telephone Number : 213-762-0690
Fax Number : 213-762-0732
Authorized Official
Title or Position : VICE PRESIDENT
Name : OLGA TSOY
Credential : PMHNP-BC
Telephone Number : 323-821-1874
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “AXIS PSYCHIATRIC SERVICES, PC ” Practice Location

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