# GODOFREDO ASTUDILLO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083843882
- **Authorized official:** DR. GODOFREDO L ASTUDILLO M.D. (PRESIDENT)
- **Authorized official phone:** (323) 225-9500

## Contact information

- **Practice address:** 2032 MARENGO ST, SUITE 143, LOS ANGELES, CA 90033-1319
- **Practice address phone:** (323) 255-9500
- **Practice address fax:** (323) 965-7754
- **Mailing address:** 2032 MARENGO ST, SUITE 143, LOS ANGELES, CA 90033-1319
- **Mailing address phone:** (323) 255-9500
- **Mailing address fax:** (323) 965-7754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A26755 | CA | Yes |

## Other

- **Enumeration date:** 07/14/2009
- **Last updated:** 07/14/2009