Provider Demographics
NPI:1720271802
Name:VOTAVA-SMITH, JODIE KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JODIE
Middle Name:KAY
Last Name:VOTAVA-SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JODIE
Other - Middle Name:KAY
Other - Last Name:VOTAVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4650 W SUNSET BLVD
Mailing Address - Street 2:MS 34
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-361-2461
Mailing Address - Fax:323-361-1513
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:MS 34
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-361-2461
Practice Address - Fax:323-361-1513
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95381208000000X, 2080P0202X
NY247795208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics