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NPI Code Detail

MEDICARE: ANDREW GODINEZ OTR/L

MEDICARE: ANDREW GODINEZ OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist21776CA

General Provider Information

NPI Number : 1265087043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW GODINEZ OTR/L
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE FL 17
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE FL 17
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-5105
Country : US
Telephone Number : 213-241-6701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2019
Last Update Date : 02/23/2026

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Directions to “ ANDREW GODINEZ OTR/L” Practice Location

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