Emergency Medicine, Medical Toxicology
AXODERM CORP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1891675674 · enumerated 2025-09-03 · record updated 2025-09-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ANGIE DAVOODY, Office Manager / Executive · (818) 242-3200
Addresses and phones
- Mailing address 1510 S CENTRAL AVE STE 640, GLENDALE, CA, 91204-2552 (310) 933-5054 Fax (310) 935-3367 Google Maps Apple Maps OpenStreetMap
- Practice location 1510 S CENTRAL AVE STE 640, GLENDALE, CA, 91204-2552 (310) 933-5054 Fax (310) 935-3367 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine, Medical Toxicology 207PT0002X · Primary
In this directory
CA Los Angeles County Glendale Emergency Medicine, Medical Toxicology
Locations and evidence
-
Practice location
GLENDALE, CA, 912042552
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.