Astudillo, Godofredo
Astudillo, Godofredo is an sole proprietor health care provider with primary practice located at 2032 Marengo St , Los Angeles CA 90033-1319. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Astudillo, Godofredo can be contacted via phone (323) 225-9500.Contact Information
Primary practice address
2032 Marengo St
Los Angeles CA 90033-1319
Phone: (323) 225-9500
Fax: (323) 965-7754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A26755 | California |
Profile Details
| NPI number | 1972695963 |
|---|---|
| LBN Legal business name | Astudillo, Godofredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972695963 | NPPES |
| California | MEDICAID | 00A267551 | |
| California | MEDICAID | OOA26755O | |
| California | MEDICAID | 00A267552 |
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