Individual
GARY GODOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 N TUSTIN AVE, WESTERN MEDICAL CENTER - EMERGENCY DEPT - DR. GODOROV, SANTA ANA, CA 92705-3502
(310) 463-7387
Mailing address
531 MAIN ST, # 401, EL SEGUNDO, CA 90245-3006
(310) 463-7387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A78224
CA
Other
Enumeration date
06/04/2006
Last updated
11/29/2021
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