Edward R Etzkorn in Huntington Beach - Internal Medicine

Edward R Etzkorn - NPI 1780680140

Edward R Etzkorn is a Internal Medicine in Huntington Beach, California. Edward R Etzkorn practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward R Etzkorn is 1780680140. The last update date is 2012-11-05.

Edward R Etzkorn's current location address is 19066 Magnolia St, Huntington Beach, California. You can contact this provider via phone number 7149680068. The mailing address for Edward R Etzkorn is 19066 Magnolia St, Huntington Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward R Etzkorn
Address 19066 Magnolia St, Huntington Beach, California
Phone Number 7149680068
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780680140
Provider Enumeration Date 2005-06-21
Last Updated Date 2012-11-05

Provider Mailing Address Detail

Address 19066 Magnolia St
City Huntington Beach
State California (CA)
Post Code 9264622320
Phone Number 7149680068
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G57149
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G571490 CA MEDI CAL #

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FAQs about Edward R Etzkorn

What is the unique 10-digit identification code issued to Edward R Etzkorn by the Centers for Medicare & Medicaid Services?

The Edward R Etzkorn has been assigned the NPI (National Provider Identifier) 1780680140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Edward R Etzkorn's facilities are geographically located?

The facilities of Edward R Etzkorn are physically situated at the following location: 19066 Magnolia St, Huntington Beach, CA, 9264622320.

What is Edward R Etzkorn's area of expertise and its corresponding taxonomy classification?

The Edward R Etzkorn's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

When did Edward R Etzkorn receive its 1780680140 assignment?

The Edward R Etzkorn was assigned its 1780680140 on 2005-06-21, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Edward R Etzkorn most recently updated or revised?

The details related to Edward R Etzkorn, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-05.

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