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GODOFREDO ASTUDILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2032 MARENGO ST, LOS ANGELES, CA 90033-1319
(323) 225-9500
(323) 965-7754
Mailing address
PO BOX 360615, LOS ANGELES, CA 90036-1153

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A26755
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A267551
CA
05
00A267552
CA
05
OOA26755O
CA
Enumeration date
09/28/2006
Last updated
07/08/2007
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