Individual
DR. JEFFREY D GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
16311 VENTURA BLVD, STE 630, ENCINO, CA 91436-4318
(818) 995-3039
(818) 995-3368
Mailing address
16311 VENTURA BLVD, STE 630, ENCINO, CA 91436-4318
(818) 995-3039
(818) 995-3368
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E25100
—
CA
01
—
W21713
MEDICARE PTAN
CA
Enumeration date
06/17/2005
Last updated
07/18/2008
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