GODOFREDO ASTUDILLO M.D. NPI 1972695963

NPI Information

NPI: 1972695963
Provider Name: GODOFREDO ASTUDILLO, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2032 MARENGO ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 225-9500
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Godofredo Astudillo, M.D. is a general practice in Los Angeles, CA. Godofredo Astudillo, M.D. NPI is 1972695963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2032 MARENGO ST
LOS ANGELES, CA
ZIP 90033-319
Phone: (323) 225-9500
Fax: (323) 965-7754

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/8/2007.

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
1	208D00000X	General Practice		A26755	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A83433	MEDICARE UPIN	CALIFORNIA
2	00A267552	MEDICAID	CALIFORNIA
3	OOA26755O	MEDICAID	CALIFORNIA
4	00A267551	MEDICAID	CALIFORNIA
5	A26755	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
6	00A267550	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
7	A26755A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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