Individual
MRS. APOLLONIA GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1670 E. 120TH ST, 4TH FLOOR, MODULE A, LOS ANGELES, CA 90059
(424) 338-1000
(310) 223-0192
Mailing address
222 N. TOLUCA ST, APT 3., LOS ANGELES, CA 90026
(213) 864-0616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688579
NY
163W00000X
Registered Nurse
95004949
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95004949
CA
Other
Enumeration date
03/22/2015
Last updated
10/19/2021
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