{"npi":"1780680140","type":"NPI-1","status":"active","name":{"display":"Dr. Edward Etzkorn MD","other":[],"first":"EDWARD","last":"ETZKORN","middle":"R","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CA","license":"G57149"},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":false,"state":"CA","license":"G57149"}]},"addresses":[{"purpose":"LOCATION","street_1":"19066 MAGNOLIA ST.","city":"HUNTINGTON BEACH","state":"CA","postal_code":"92646","country_code":"US","phone":"7149680068"},{"purpose":"MAILING","street_1":"19066 MAGNOLIA ST","city":"HUNTINGTON BEACH","state":"CA","postal_code":"926462232","country_code":"US","phone":"7149680068"}],"license":{"state":"CA","number":"G57149"},"identifiers":[{"type_code":"01","label":"Other","value":"00G571490","state":"CA","issuer":"MEDI CAL #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040720001637","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"2365422441"}]},"enumeration_date":"2005-06-21","last_updated":"2012-11-05","_meta":{"source":"NPPES","snapshot_date":"2012-11-05","doc_url":"https://findmynpi.com/api"}}