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GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION NPI 1053500892


NPI Information

NPI: 1053500892
Provider Name: GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION

Doing Business As: PERFORMANCE CARE CHIROPRACITC & SPORTS MEDICINE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10738 RIVERSIDE DR STE A
TOLUCA LAKE, CA
ZIP 91602
Phone: (818) 766-4307
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GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION is a chiropractor in Toluca Lake, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION NPI is 1053500892. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Performance Care Chiropracitc & Sports Medicine.

The provider's business location address is:

10738 RIVERSIDE DR STE A
TOLUCA LAKE, CA
ZIP 91602-372
Phone: (818) 766-4307
Fax: (818) 766-4309

The provider's authorized official is Golan Nissim .
The authorized official title is President and has the following contact phone number (818) 766-4307.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC25362CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W18054MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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