| Dr Elana Godebu, MD | |
|
1600 South Imperial Avenue, Suite 4, El Centro, CA 92243 | |
| (442) 325-9959 | |
| (760) 355-9523 |
| Full Name | Dr Elana Godebu |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 1600 South Imperial Avenue, El Centro, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609189224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A119468 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Centro Regional Medical Center | El centro, CA | Hospital |
| Pioneers Memorial Healthcare District | Brawley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imperial Valley Family Care Medical Group A P C | 0446243083 | 21 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695 |
| Entity Name | Imperial Valley Family Care Medical Group A P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354 |
| Entity Name | El Centro Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1861409823 PECOS PAC ID: 6901986397 Enrollment ID: O20090522000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elana Godebu, MD 516 West Aten Road, Suite 2, Imperial, CA 92251-9805 Ph: (760) 355-7730 | Dr Elana Godebu, MD 1600 South Imperial Avenue, Suite 4, El Centro, CA 92243 Ph: (442) 325-9959 |
Dr. Theodore Affue, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2061 Ross Ave, Suite A, El Centro, CA 92243 Phone: 760-353-8181 Fax: 760-353-8282 |