MARK GODIKSEN NPI 1760725758

NPI Information

  • NPI: 1760725758
  • Provider Name: MARK GODIKSEN
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: OFFICE OF MARK V. GODIKSEN
  • Address: 688 MEDICAL CENTER DR E
    SUITE 106
    CLOVIS, CA
    ZIP 93611
  • Phone: (559) 297-8604

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NPI Details

MARK GODIKSEN is a non pharmacy dispensing site in Clovis, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MARK GODIKSEN NPI is 1760725758. The provider is registered as an organization entity type.
The provider Is Doing Business As Office Of Mark V. Godiksen.

The provider's business location address is:

688 MEDICAL CENTER DR E
SUITE 106
CLOVIS, CA
ZIP 93611-807
Phone: (559) 297-8604

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 3/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteA43850CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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