OrganizationActive
Axoderm Corp
NPI 1891675674 · Medical Toxicology (Emergency Medicine) Physician · Glendale, CA
Provider details
- NPI number
- 1891675674
- Entity type
- Organization
- Primary specialty
- Medical Toxicology (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Angie Davoody, Office Manager / Executive
Practice location
1510 S Central Ave Ste 640
Glendale, CA 91204-2552
Phone: (310) 933-5054
Fax: (310) 935-3367
Mailing address
1510 S Central Ave Ste 640
Glendale, CA 91204-2552
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.