Godofredo Astudillo Md Inc

NPI 1083843882 - General Practice - 208D00000X

NPI Details
NPI 1083843882
Enumeration Date 07/14/2009
Last Updated 07/14/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GODOFREDO L GODOFREDO
Position PRESIDENT
Phone (323) 255-9500
Fax (323) 965-7754
Practice Location
2032 MARENGO ST
SUITE 143
LOS ANGELES CA, 90033-1319, US
Phone (323) 255-9500
Fax (323) 965-7754
Business Location
2032 MARENGO ST
SUITE 143
LOS ANGELES CA, 90033-1319, US
Phone (323) 255-9500
Fax (323) 965-7754
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number A26755
Remove 1083843882 NPI Number
 

According to our database, Godofredo Astudillo Md Inc NPI is 1083843882, taxonomy code is 208D00000X and license number is A26755, license state is located at California. Godofredo Astudillo Md Inc physically located at 2032 Marengo St, Los Angeles CA, 90033-1319. NPI Number 1033115704 has the healthcare provider type.

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1083843882 NPI number is provided on an as is basis without warranty of any kind. 1083843882 is maintained by the National Plan & Provider Enumeration System. The contents of Godofredo Astudillo Md Inc are for informational purposes only.