Organization
JOSEPH S. GOETZ, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S. GOETZ M.D. (M.D.)
(310) 274-4626
Entity
Organization
Contact information
Practice address
9200 W PICO BLVD, LOS ANGELES, CA 90035-1319
(310) 274-4626
(310) 285-0446
Mailing address
9200 W PICO BLVD, LOS ANGELES, CA 90035-1319
(310) 274-4626
(310) 285-0446
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G039888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G039888
MEDICAL LICENSE
CA
Enumeration date
12/03/2007
Last updated
04/08/2008
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