GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION (NPI# 1053500892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053500892 |
| Entity Type | Organization |
| Organization Name | GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION |
| Other Organization Name | PERFORMANCE CARE CHIROPRACITC & SPORTS MEDICINE |
| Practice Address |
10738 Riverside Dr Ste A Toluca Lake CA 91602-2372 |
| Practice Telephone | 8187664307 |
| Practice Fax Number | 8187664309 |
| Mailing Telephone | 8187664307 |
| Mailing Fax Number | 8187664309 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. GOLAN NISSIM (PRESIDENT) |
| Authorized Official Telephone | 8187664307 |
| Authorized Official Credential | D.C., A.R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC25362 | CA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Performance Care Chiropracitc & Sports Medicine | Doing Business As Name - Organization |
| Street Address |
10738 RIVERSIDE DR STE A |
| City | TOLUCA LAKE |
| State | CA |
| Zip Code | 91602-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558537977 | Laura Kathleen Wilson | Physical Therapist | 10738 Riverside Dr Ste A, Toluca Lake, CA 91602-2372 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032577 | The Guardian of Health | Chiropractor | 4444 Lankershim Blvd., Suite 204, Toluca Lake, CA 91602-2346 | 2017-09-28 |
| 1487880399 | Performance Care Sports Medicine & Rehabilitation Center, Inc. | Chiropractor | 10738 Riverside Drive, Suite A, Toluca Lake, CA 91602-2372 | 2009-06-05 |
| 1447484936 | Norman Klein | Chiropractor | 10925 Blix St, #301, Toluca Lake, CA 91602-3816 | 2009-05-12 |
| 1740490606 | Thomas Edward Harvey | Chiropractor | 10730 Riverside Dr, Suite A, Toluca Lake, CA 91602-2313 | 2007-05-22 |
| 1396892675 | Mark M. Kosker | Chiropractor | 10142 Riverside Dr, Toluca Lake, CA 91602-2532 | 2007-01-05 |
| 1932270147 | Golan Nissim | Chiropractor | 10738 Riverside Dr, Ste A, Toluca Lake, CA 91602-2313 | 2006-11-10 |
| 1326133901 | Erik Dean Lee | Chiropractor | 10651 Riverside Drive, Toluca Lake, CA 91602-2341 | 2006-10-03 |
| 1639109028 | Jeffrey Palmer | Chiropractor | 10628 Riverside Dr, Suite # 5, Toluca Lake, CA 91602-2373 | 2006-07-03 |
| 1972574804 | Elizabeth A Carpenter | Chiropractor | 4444 Lankershim Blvd Ste 104, Toluca Lake, CA 91602 | 2006-01-30 |
| 1568072205 | The Total Health Center Acupuncture & Natural Medicine | Chiropractor | 4444 Lankershim Blvd, #104, Toluca Lake, CA 91602 | 2020-08-07 |
| Find all providers in TOLUCA LAKE | ||||
| City | TOLUCA LAKE |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on GOLAN NISSIM PROFESSIONAL CHIROPRACTIC CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.