| Organization Name: | GODOFREDO ASTUDILLO MD INC |
| NPI Number: | 1083843882 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GODOFREDO L ASTUDILLO (PRESIDENT) |
| Mailing Address: | 2032 Marengo St Suite 143 Los Angeles |
| State: | CA US |
| Postal Code: | 900331319 |
| Phone Number: | 3232559500 |
| Fax Number: | 3239657754 |
| NPI Enumeration Date: | 07/14/2009 |
| NPI Last Update Date: | 07/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A26755 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |