Individual
DR. EDWARD J. GOETZL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2725
(415) 353-2568
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G47295
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
G47295
CA
207RR0500X
Rheumatology Physician
Primary
G47295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G4729500
—
CA
Enumeration date
04/19/2006
Last updated
09/11/2025
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