Healthcare Provider Details

I. General information

NPI: 1710809934
Provider Name (Legal Business Name): CARMELA DOHL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 WOODMAN AVE # 440B
SHERMAN OAKS CA
91423-2400
US

IV. Provider business mailing address

540 N CENTRAL AVE APT 504
GLENDALE CA
91203-3371
US

V. Phone/Fax

Practice location:
  • Phone: 818-875-1276
  • Fax:
Mailing address:
  • Phone: 818-875-1276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number95033056
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: