DR. ROBERT W. GODWIN


Address: 1990 S Bundy Dr, Ste 300, Los Angeles, CA 90025-5240
Phone: 3108363235

DR. ROBERT W. GODWIN (NPI# 1578863023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578863023
Entity Type Individual
Full Name DR. ROBERT W. GODWIN
Credential PH.D.
Practice Address 1990 S Bundy Dr
Ste 300
Los Angeles
CA 90025-5240
Practice Telephone 3108363235
Practice Fax Number 3104470840
Mailing Telephone 3108363235
Mailing Fax Number 3104470840
Enumeration Date 2010-11-01
Last Update Date 2010-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
PSY12516 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MPN PSY12516 01

Other Providers ROBERT GODWIN

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Office Location

Street Address 1990 S BUNDY DR
STE 300
City LOS ANGELES
State CA
Zip Code 90025-5240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063550879 Barrington Psychiatric Center Psychologist 1990 S Bundy Dr, 320, Los Angeles, CA 90025-5240 2007-02-02
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City LOS ANGELES
Zip Code 90025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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