Goetzl, Edward J.
Goetzl, Edward J. is an individual health care provider with primary practice located at 400 Parnassus Ave , San Francisco CA 94143-2202. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goetzl, Edward J. can be contacted via phone (415) 353-2725.Contact Information
Primary practice address
400 Parnassus Ave
San Francisco CA 94143-2202
Phone: (415) 353-2725
Fax: (415) 353-2568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G47295 | California |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | G47295 | California |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | G47295 | California |
Profile Details
| NPI number | 1255396594 |
|---|---|
| LBN Legal business name | Goetzl, Edward J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255396594 | NPPES |
| California | MEDICAID | 0G4729500 |
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