Godofsky, Irvin D
Godofsky, Irvin D is an sole proprietor health care provider with primary practice located at 4519 Admiralty Way Ste 110 , Marina Del Rey CA 90292-5455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Godofsky, Irvin D can be contacted via phone (310) 822-1771.Contact Information
Primary practice address
4519 Admiralty Way Ste 110
Marina Del Rey CA 90292-5455
Phone: (310) 822-1771
Fax: (310) 822-1771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C34361 | California |
Profile Details
NPI number | 1205864147 |
---|---|
LBN Legal business name | Godofsky, Irvin D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 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.
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