Joseph John Dovidio III, NP
Nurse Practitioner, Acute Care in Los Angeles, CA. Individual provider (NPI-1).
NPI number1962046110
StatusActive
Last updated in NPPESDec 28, 2025
Details
- NPI
- 1962046110
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph John Dovidio III
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2019
- Certification date
- Dec 28, 2025
- Last updated
- Dec 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 95023352 | CA | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | SP020980 | PA | |
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | 26NJ01234000 | NJ | |
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | SP020980 | PA |
Practice location
127 S San Vicente BlvdLos Angeles, CA 90048-3311
Phone 310-423-3851 · Fax 310-423-0246
Mailing address
4140 W 190th StTorrance, CA 90504-5513
Phone 310-423-3851 · Fax 310-423-0246
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