MEDICARE: ANITA GOLDSTEIN CHIROPRACTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor

General Provider Information

NPI Number	:	1245743616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANITA GOLDSTEIN CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	3121 ROBERTS AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-7414
Country	:	US
Telephone Number	:	310-567-7977
Fax Number	:

Provider Business Practice Location Address
First Line	:	3121 ROBERTS AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-7414
Country	:	US
Telephone Number	:	310-567-7977
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANITA GOLDSTEIN
Credential	:	DC
Telephone Number	:	310-567-7977

Provider Enumeration Date	:	11/08/2017
Last Update Date	:	09/11/2020

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