=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841080025
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIAN EDWARD RIZOS M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2025
-----------------------------------------------------
Last Update Date | 08/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2540 23RD STREET BUILDING 7 3RD FLOOR ROOM 3110 ORTHOPAEDIC TRAUMA INSTITUTE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-476-2124
-----------------------------------------------------
Fax | 415-514-7748
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2540 23RD STREET BUILDING 7 3RD FLOOR ROOM 3110 ORTHOPAEDIC TRAUMA INSTITUTE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-476-2124
-----------------------------------------------------
Fax | 415-514-7748
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | A203278
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------