Axoderm Corp

Axoderm Corp is a healthcare organization registered as Medical Toxicology (Emergency Medicine) Physician in Glendale, CA, holding Type 2 (organization) NPI 1891675674 since 2025. The authorized official on file is Angie Davoody, Office Manager / Executive.

✓ Active NPI ✓ Valid NPI checksum

NPI	1891675674
Entity type	Organization (Type 2)
Legal business name	Axoderm Corp
Practice address	1510 S CENTRAL AVE STE 640, Glendale, CA, 91204
Phone	3109335054
Fax	3109353367
Enumeration date	2025-09-03
Last updated in NPPES	2025-09-03

Authorized official

Name	Angie Davoody
Title	Office Manager / Executive
Phone	8182423200

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207PT0002X	Medical Toxicology (Emergency Medicine) Physician	Primary	—	—

Copy-ready billing details

Provider: Axoderm Corp
NPI: 1891675674
Taxonomy: 207PT0002X (Medical Toxicology (Emergency Medicine) Physician)
Address: 1510 S CENTRAL AVE STE 640, Glendale, CA, 91204

Providers at this address

NPI	Name	Type	Specialty	Location
1811537756	Sherman Infusion Services Inc	Organization	Nephrology Physician	Glendale, CA

Verify this record

Cross-check NPI 1891675674 against the authoritative CMS record: view Axoderm Corp on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Axoderm Corp located?

The practice location on file with NPPES is in Glendale, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-03.