Organization Active NPI

Godofredo Astudillo MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1083843882
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A26755 Issued in CA
Legal business name
GODOFREDO ASTUDILLO MD INC
Practice address
2032 Marengo St
Suite 143
Los Angeles, CA 90033-1319
Phone
(323) 255-9500
Fax
(323) 965-7754
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Godofredo L Astudillo, M.D.
Title
President
Phone
(323) 225-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A26755 CA Primary

Addresses

Primary practice location

2032 Marengo St
Suite 143
Los Angeles, CA 90033-1319

Mailing address

2032 Marengo St
Suite 143
Los Angeles, CA 90033-1319
Phone (323) 255-9500

National Provider Directory

National Provider Directory

Locations

1102 S Union Ave
Bakersfield, CA 93307
Phone (661) 323-0768

2015 Brundage Ln
Bakersfield, CA 93304
Phone (661) 322-5567

715 E Chester Rd
Covina, CA 91723
Phone (626) 332-3732

2032 Marengo St
Ste 143
Los Angeles, CA 90033
Phone (323) 225-9500

67 E Barnett St
Ventura, CA 93001
Phone (805) 643-2176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1083843882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 MARENGO ST",
            "address_2": "SUITE 143",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331319",
            "telephone_number": "323-255-9500",
            "fax_number": "323-965-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 MARENGO ST",
            "address_2": "SUITE 143",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331319",
            "telephone_number": "323-255-9500",
            "fax_number": "323-965-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODOFREDO ASTUDILLO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "ASTUDILLO",
        "authorized_official_first_name": "GODOFREDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-225-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A26755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.