Ryanne Godfrey
Community Health Worker in Los Angeles, CA. Individual provider (NPI-1).
NPI number1093633091
StatusActive
Last updated in NPPESJul 30, 2026
Details
- NPI
- 1093633091
- Entity type
- Individual (NPI-1)
- Name
- Ryanne Godfrey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 30, 2026
- Last updated
- Jul 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | CA | Yes |
| 175T00000X | Peer Specialist | – | CA |
Practice location
2802 S Grand AveLos Angeles, CA 90007-3303
Phone 213-341-0279
Mailing address
316 Bloom St # 424Los Angeles, CA 90012-2055
Phone 213-562-9251
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