Individual
JOSEPH JOHN GODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
15200 W SUNSET BLVD, SUITE 111, PACIFIC PALISADES, CA 90272-3619
(310) 573-9340
(310) 573-9328
Mailing address
2109 MOUNT CALVARY RD, SANTA BARBARA, CA 93105-2355
(310) 365-6470
(866) 644-1472
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 12430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT124300
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
03/02/2007
Last updated
02/07/2013
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