institution
Jeffrey D Goss Dpm Inc.
Podiatric Clinic/Center in Encino, California
NPI 1619012804

Jeffrey D Goss Dpm Inc. is a Podiatric Clinic/Center based in Encino, CA and is specialized in Podiatric. Jeffrey D Goss Dpm Inc. practices in Encino, CA. The NPI Number for Jeffrey D Goss Dpm Inc. is 1619012804 and holds a License No. E2510 (California).

The current practice location address for Jeffrey D Goss Dpm Inc. is 16311 Ventura Blvd, Encino, CA and can be reached out via phone at 818-995-3039 and via fax at 818-995-3368.

Location: 16311 Ventura Blvd, Encino, CA, 91436-2124
institution
Provider Profile Details
NPI Number
1619012804
Provider Name
Jeffrey D Goss Dpm Inc.
Credential
Provider Entity Type
Organization
Address
16311 Ventura Blvd, Encino, CA, 91436-2124
Phone Number
818-995-3039
Fax Number
818-995-3368
Provider Enumeration Date
02/21/2007
Last Update Date
02/15/2025
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000E25100 05 CA
W21713 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
16311 Ventura Blvd
City
State
Zip
91436-2124
Phone Number
818-995-3039
Fax Number
818-995-3368
person
Provider Business Mailing Address Details
Address
16311 Ventura Blvd
City
State
Zip
91436-2124
Phone Number
818-995-3039
Fax Number
818-995-3368
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
E2510 (California)
Definition
Definition to come...
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