Goll, Joanna P

Goll, Joanna P is an individual health care provider with primary practice located at 5805 Sepulveda Blvd Suite 610, Van Nuys CA 91411-2546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goll, Joanna P can be contacted via phone (818) 908-8048.

Contact Information

Primary practice address
5805 Sepulveda Blvd Suite 610 Van Nuys CA 91411-2546
Phone: (818) 908-8048
Fax: (818) 908-8072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 499016 California

Profile Details

NPI number 1578617650
LBN Legal business name Goll, Joanna P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578617650 NPPES
California Other 499016 STATE LICENSE

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