Individual
BRIAN WAYNE GOELITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029
(760) 940-4055
(760) 940-4084
Mailing address
PO BOX 23540, SAN DIEGO, CA 92193-3540
(760) 940-4055
(760) 940-4055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A97686
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A97686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A976860
—
CA
Enumeration date
05/07/2007
Last updated
01/22/2024
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