Healthcare Provider Details

I. General information

NPI: 1619626942
Provider Name (Legal Business Name): MONICA DOBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 SAN FERNANDO RD
SUN VALLEY CA
91352-1428
US

IV. Provider business mailing address

9375 SAN FERNANDO RD
SUN VALLEY CA
91352-1428
US

V. Phone/Fax

Practice location:
  • Phone: 818-768-3000
  • Fax:
Mailing address:
  • Phone: 818-504-4690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA201113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: