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Godofredo Astudillo, MD
General Practice Physician in Los Angeles, California
NPI 1972695963

Godofredo Astudillo is a General Practice Physician based in Los Angeles, CA. Godofredo Astudillo practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Godofredo Astudillo is 1972695963 and holds a License No. A26755 (California).

The current practice location address for Godofredo Astudillo is 2032 Marengo St, Los Angeles, CA and can be reached out via phone at 323-225-9500 and via fax at 323-965-7754.

Location: 2032 Marengo St, Los Angeles, CA, 90036-1153
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Provider Profile Details
NPI Number
1972695963
Provider Name
Godofredo Astudillo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2032 Marengo St, Los Angeles, CA, 90036-1153
Phone Number
323-225-9500
Fax Number
323-965-7754
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A267551 05 CA
OOA26755O 05 CA
00A267552 05 CA
institution
Provider Business Practice Location Address Details
Address
2032 Marengo St
City
State
Zip
90033-1319
Phone Number
323-225-9500
Fax Number
323-965-7754
person
Provider Business Mailing Address Details
Address
2032 Marengo St
City
State
Zip
90033-1319
Phone Number
323-225-9500
Fax Number
323-965-7754
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A26755 (California)
Definition
Definition to come...
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