Healthcare Provider Details

I. General information

NPI: 1447773585
Provider Name (Legal Business Name): ELIZABETH ANN DODDATO DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH ANN DODDATO-MITTET DNP, PMHNP-BC

II. Dates (important events)

Enumeration Date: 07/20/2017
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 S OLIVE ST STE 200
LOS ANGELES CA
90014-1646
US

IV. Provider business mailing address

617 S OLIVE ST STE 200
LOS ANGELES CA
90014-1646
US

V. Phone/Fax

Practice location:
  • Phone: 213-430-9080
  • Fax: 213-403-5208
Mailing address:
  • Phone: 213-430-9080
  • Fax: 213-403-5208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95007496
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95134204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: