Organization
GODOFREDO ASTUDILLO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODOFREDO L ASTUDILLO M.D. (PRESIDENT)
(323) 225-9500
Entity
Organization
Contact information
Practice address
2032 MARENGO ST, SUITE 143, LOS ANGELES, CA 90033-1319
(323) 255-9500
(323) 965-7754
Mailing address
2032 MARENGO ST, SUITE 143, LOS ANGELES, CA 90033-1319
(323) 255-9500
(323) 965-7754
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A26755
CA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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