Axedia

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AXEDIA

Practice address

818 N Doheny Dr Apt 206
West Hollywood, CA 90069-4857

Phone

(323) 683-2040

NPI assigned

Jan 31, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yoan Esebag

Title

Owner/Authorized Official

Phone

(323) 683-2040

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1104579093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N DOHENY DR APT 206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N DOHENY DR APT 206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694857",
            "telephone_number": "323-683-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXEDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ESEBAG",
        "authorized_official_first_name": "YOAN",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "323-683-2040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapheal Demetrius Avila-Cunanan, DNAP, RN
• Stephen Daniel Avila, MD
• Eyal N/a Aviran, MD
• Avision Therapy Licensed Clinical Social Worker Inc.
• Alex Aw, MD
• Maranatha Ayodele, M.D.
• Walid S Ayoub, M.D.
• Mohyee Ihab Ayouty, MD
• Ishan Ayyalasomayajula, MD
• Parisa Azizad-Pinto, M.D.

• Clinical Medical Laboratory in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.