Individual provider · Type 1 NPI
Samuel C. Godwin, NP
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1699305839
Active
Practice location
10024 S Vermont Ave
Los Angeles, CA 90044-3112
Mailing address
8801 S 8th Ave
Inglewood, CA 90305-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 877201 (NV) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95013690 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699305839
Samuel C. Godwin, NP's National Provider Identifier is 1699305839, issued on Jan 15, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 16, 2026.