Individual
GERARDO ANGEL GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
286 EUCLID AVE STE 207, SAN DIEGO, CA 92114-3612
(619) 859-6270
Mailing address
286 EUCLID AVE STE 207, SAN DIEGO, CA 92114-3612
(619) 859-6270
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
175T00000X
Peer Specialist
Primary
MPSS-NYPLJW
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/01/2024
Last updated
05/06/2025
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