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NPI Code Detail

MEDICARE: MR. ARMANI DODSON

MEDICARE: MR. ARMANI DODSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1629788229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARMANI DODSON
Provider Business Mailing Address
First Line : 4035 PALMYRA RD APT 8
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-2435
Country : US
Telephone Number : 909-997-5223
Fax Number :
Provider Business Practice Location Address
First Line : 7843 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-2523
Country : US
Telephone Number : 818-765-8656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 06/29/2025

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Directions to “ MR. ARMANI DODSON ” Practice Location

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