Individual
DR. IRVIN D GODOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4519 ADMIRALTY WAY STE 110, MARINA DEL REY, CA 90292-5455
(310) 822-1771
(310) 822-1771
Mailing address
4519 ADMIRALTY WAY STE 110, MARINA DEL REY, CA 90292-5455
(310) 822-1771
(310) 822-1771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C34361
CA
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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