Individual
MR. JOSEPH JOHN DOVIDIO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
127 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-3311
(310) 423-3851
(310) 423-0246
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-3851
(310) 423-0246
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95023352
CA
363LA2100X
Acute Care Nurse Practitioner
SP020980
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
26NJ01234000
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
SP020980
PA
Other
Enumeration date
10/31/2019
Last updated
12/28/2025
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