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NPI Code Detail

MEDICARE: ANDREW GODOY CADAC II

MEDICARE: ANDREW GODOY CADAC II
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
1101YA0400XAddiction (Substance Use Disorder) CounselorA7151011CA

General Provider Information

NPI Number : 1477946044
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW GODOY CADAC II
Provider Business Mailing Address
First Line : 1020 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1416
Country : US
Telephone Number : 310-314-6200
Fax Number :
Provider Business Practice Location Address
First Line : 1020 PICO BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-1416
Country : US
Telephone Number : 310-314-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2015
Last Update Date : 01/06/2017

Similar Medicare Providers

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1861778458 — SILVIA PRADO
Practice Location Address:
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SANTA MONICA, CA
90405-1416
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Practice Fax:
1437435021 — MARITZA VASQUEZ MSW
Practice Location Address:
1020 PICO BLVD
SANTA MONICA, CA
90405-1416
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Practice Fax:
1366877680 — MS. NZINGA YEOMOJA HYMAN M.B.A
Practice Location Address:
1002 PICO BLVD
SANTA MONICA, CA
90405-1416
Practice Phone: 310-314-6200
Practice Fax:

Directions to “ ANDREW GODOY CADAC II” Practice Location

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