Healthcare Provider Details

I. General information

NPI: 1831892355
Provider Name (Legal Business Name): EDWARD JOSEPH GOLDSCHMIDT III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 E TACHEVAH DR STE 2W103
PALM SPRINGS CA
92262-5748
US

IV. Provider business mailing address

555 E TACHEVAH DR STE 2W103
PALM SPRINGS CA
92262-5748
US

V. Phone/Fax

Practice location:
  • Phone: 760-459-3109
  • Fax:
Mailing address:
  • Phone: 760-459-3109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA209004
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: