Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Axiograft

Organization Internal Medicine Physician · NPI 1750264677

Axiograft is an Internal Medicine Physician in Glendale, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

815 S Central Ave Ste 11
Glendale, CA 91204-2080
Phone: (818) 325-5090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1750264677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manvel Kondradzhyan — Ceo · (323) 253-5821
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 28, 2025
Mailing address815 S Central Ave Ste 11, Glendale, CA 91204-2080

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