Individual
DR. JOAN E. ETZELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1750
(415) 353-1106
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
207ZH0000X
Hematology (Pathology) Physician
Primary
G79064
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G79064
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
G79064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G790640
—
CA
Enumeration date
06/04/2006
Last updated
09/11/2025
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