Individual
DR. GODOFREDA SUMALANGCAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 WESTERN AVE, SUITE 202, SAN BERNARDINO, CA 92411-1356
(909) 880-3065
(909) 473-0445
Mailing address
1800 WESTERN AVE, SUITE 202, SAN BERNARDINO, CA 92411-1356
(909) 880-3065
(909) 473-0445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A370350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A370350
—
CA
Enumeration date
10/31/2006
Last updated
07/09/2007
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