Individual
SERGIO EDUARDO GODINEZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Mailing address
9708 PARK ST APT C, BELLFLOWER, CA 90706-5887
(562) 743-3931
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-QGDXLJ
CA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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