AXODERM CORP
NPI 1891675674
Emergency Medicine - Medical Toxicology in Glendale, CA

Active since September 03, 2025
1510 S CENTRAL AVE STE 640, GLENDALE, CA 91204(310) 933-5054(310) 935-3367 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Axoderm Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AXODERM CORP (NPI 1891675674) is a healthcare organization registered as a medical toxicology in Glendale, California and active in the NPI registry since September 2025. The organization lists Angie Davoody, Office Manager / Executive, as its authorized official.

NPPES Registry Identity

NPI1891675674
Entity TypeOrganization
Primary Taxonomy207PT0002X
Legal Business NameAXODERM CORP
Location Address1510 S CENTRAL AVE STE 640Glendale, CA 91204-2552
Mailing Address1510 S Central Ave Ste 640Glendale, CA 91204-2552 · (310) 933-5054 · Fax (310) 935-3367
Fax(310) 935-3367
Organization SubpartNo
Authorized OfficialAngie DavoodyOffice Manager / Executive · (818) 242-3200
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
NPI 1891675674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Medical ToxicologyAllopathic & Osteopathic Physicians
Taxonomy Code207PT0002X
Definition
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.
1510 S CENTRAL AVE STE 640, Glendale, CA 91204

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1510 S CENTRAL AVE STE 640
GLENDALE, CA 91204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Axoderm Corp's NPI number?

The NPI number for Axoderm Corp is 1891675674. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is Axoderm Corp located?

Axoderm Corp is located at 1510 S Central Ave Ste 640, Glendale, CA 91204. The listed phone number is (310) 933-5054.

What is Axoderm Corp's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Medical Toxicology, with taxonomy code 207PT0002X.

When was this NPI record last updated?

The NPPES record for Axoderm Corp was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.