AXODERM CORP NPI 1891675674

NPI Information

  • NPI: 1891675674
  • Provider Name: AXODERM CORP
  • Classification: Emergency Medicine - 207PT0002X
  • Specialization: Medical Toxicology
  • Entity Type: Organization
  • Address: 1510 S CENTRAL AVE STE 640
    GLENDALE, CA
    ZIP 91204
  • Phone: (310) 933-5054

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NPI Details

AXODERM CORP is a medical toxicology emergency medicine in Glendale, CA. The provider is medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures. AXODERM CORP NPI is 1891675674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1510 S CENTRAL AVE STE 640
GLENDALE, CA
ZIP 91204-552
Phone: (310) 933-5054
Fax: (310) 935-3367

The provider's authorized official is Angie Davoody .
The authorized official title is Office Manager / Executive and has the following contact phone number (818) 242-3200.

The enumeration date for this NPI number is 9/3/2025 and was last updated on 9/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PT0002XEmergency MedicineMedical ToxicologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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