MEDICARE: HELEN AVIVAH NISSIM GOLIAN M.D.

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	207R00000X	Internal Medicine Physician	A123904	CA

General Provider Information

NPI Number	:	1528357076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN AVIVAH NISSIM GOLIAN M.D.

Provider Business Mailing Address
First Line	:	6310 SAN VICENTE BLVD STE 510
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5470
Country	:	US
Telephone Number	:	310-807-3331
Fax Number	:	424-269-2166

Provider Business Practice Location Address
First Line	:	8767 WILSHIRE BLVD FL 2
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2714
Country	:	US
Telephone Number	:	310-385-3570
Fax Number	:	424-314-8735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	12/02/2025

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