Goss, Jeffrey D

Goss, Jeffrey D is an individual health care provider with primary practice located at 16311 Ventura Blvd Ste 630, Encino CA 91436-4318. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goss, Jeffrey D can be contacted via phone (818) 995-3039.

Contact Information

Primary practice address
16311 Ventura Blvd Ste 630 Encino CA 91436-4318
Phone: (818) 995-3039
Fax: (818) 995-3368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2510 California

Profile Details

NPI number 1912902792
LBN Legal business name Goss, Jeffrey D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 18th, 2008 - about 16 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 1912902792 NPPES
California Other W21713 MEDICARE PTAN
California MEDICAID 000E25100 MEDICARE PTAN

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