Organization
JEFFREY D GOSS DPM INC.
Active
Other names
Encino Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID GOSS DPM (PRESIDENT)
(818) 995-3039
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, STE 630, ENCINO, CA 91436-2124
(818) 995-3039
(818) 995-3368
Mailing address
16311 VENTURA BLVD, STE 630, ENCINO, CA 91436-2124
(818) 995-3039
(818) 995-3368
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E2510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E25100
—
CA
01
—
W21713
MEDICARE PTAN
CA
Enumeration date
02/21/2007
Last updated
07/18/2008
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