Individual
MR. JOHN PADILLA GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 997-2000
(562) 997-2515
Mailing address
1840 CATLIN ST, FULLERTON, CA 92833-5647
(714) 515-9975
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
539413
CA
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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