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Organization

IGNATIUS P. GODOY, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS HOPE CARDENAS CPC (MEDICAL BILLER)
(562) 634-0449
Entity
Organization

Contact information

Practice address
16660 PARAMOUNT BLVD, STE. 206, PARAMOUNT, CA 90723-5433
(562) 634-0449
(562) 634-6075
Mailing address
16660 PARAMOUNT BLVD, STE. 206, PARAMOUNT, CA 90723-5433
(424) 242-1464
(562) 634-6075

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A048799
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GR0075070
MEDI-CAL
CA
Enumeration date
01/17/2008
Last updated
12/30/2011
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