Lisa Gooze
Infectious Disease
222 W 39th Ave
San Mateo
, California 94403-4364
Lisa Gooze
Infectious Disease
222 W 39th Ave
San Mateo
, California 94403-4364
(650) 573-2222
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Lisa Gooze
- 222 W 39th Ave
- San Mateo, CA
- Zip : 94403-4364
- Phone : (650) 573-2222
Second Address
- Lisa Gooze
- 222 W 39th Ave
- San Mateo, CA
- Zip : 94403-4364
- Phone : (650) 573-2222
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | AG53946 | CA |
National Provider Identifier
| NPI | 1053484162 |
|---|---|
| Provider Name | Lisa Gooze |
| First Address | San Mateo, CA 94403-4364 |
| Second Address | San Mateo, CA 94403-4364 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 13/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G539460 | (05) | CA |
| A52626 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.