OFFICE OF MARK V. GODIKSEN
NPI 1760725758
Non-Pharmacy Dispensing Site in Clovis, CA
- Organization
- Non-Pharmacy Dispensing Site
About OFFICE OF MARK V. GODIKSEN
This page provides the complete NPI Profile along with additional information for Office Of Mark V. Godiksen, a provider established in Clovis, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1760725758 assigned on March 2013. The practitioner's primary taxonomy code is 332900000X with license number A43850 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Office Of Mark V. Godiksen. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1760725758 Verify this NPI
- Provider Legal Name
- MARK GODIKSEN
- Other Organization Name
- OFFICE OF MARK V. GODIKSEN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 688 MEDICAL CENTER DR E SUITE 106 CLOVIS, CA 93611
- Location Phone
- (559) 297-8604
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-28-2013
- Last Update Date
- 03-28-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- A43850
- License State
- CA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
CLOVIS, CA 93611
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760725758, enumerated as an "organization" on March 28, 2013.
The provider is located at 688 MEDICAL CENTER DR E SUITE 106 CLOVIS, CA 93611 and the phone number is (559) 297-8604.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
