MEDICARE: JOANNA P GOLL NP

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	363L00000X	Nurse Practitioner	499016	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	499016	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1578617650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA P GOLL NP

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	SUITE 225
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-487-0040
Fax Number	:	818-487-0050

Provider Business Practice Location Address
First Line	:	5805 SEPULVEDA BLVD
Second Line	:	SUITE 610
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2546
Country	:	US
Telephone Number	:	818-908-8048
Fax Number	:	818-908-8072

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	03/07/2023

Similar Medicare Providers

1689830499 — JSI ACQUISITION, INC.
Practice Location Address:

5805 SEPULVEDA BLVD , SUITE 740
VAN NUYS, CA
91411-2546

Practice Phone: 818-902-5000
Practice Fax: 818-902-5008

1154105682 — LISA MARIE MORIN
Practice Location Address:

5805 SEPULVEDA BLVD
VAN NUYS, CA
91411-2546

Practice Phone: 818-980-3200
Practice Fax:

1568411023 — YPSILANTI REHABILITATION SERVICES, INC.
Practice Location Address:

6055 RAWSONVILLE RD
VAN BUREN TWP, MI
48111-2546

Practice Phone: 734-485-4544
Practice Fax: 734-485-8125

1013967314 — JSI ACQUISITION, INC.
Practice Location Address:

5805 SEPULVEDA BLVD , SUITE 605
SHERMAN OAKS, CA
91411-2546

Practice Phone: 818-902-5000
Practice Fax: 818-902-5008

1376674564 — TAMARA CARSON LCSW
Practice Location Address:

5805 SEPULVEDA BLVD
SHERMAN OAKS, CA
91411-2546

Practice Phone: 818-213-1544
Practice Fax:

1871900670 — MIRIANA CARE LLC
Practice Location Address:

5805 SEPULVEDA BLVD , SUITE 605
SHERMAN OAKS, CA
91411-2546

Practice Phone: 818-636-7773
Practice Fax:

Directions to “ JOANNA P GOLL NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.