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
Fax: (415) 353-2568
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255396594 NPPES
California MEDICAID 0G4729500

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