MEDICARE: SYDNEY EVYN GOLDMAN DC

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	111N00000X	Chiropractor	DC37563	CA

General Provider Information

NPI Number	:	1770435091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY EVYN GOLDMAN DC

Provider Business Mailing Address
First Line	:	5057 MATILIJA AVE
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-1237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23388 MULHOLLAND DR
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2733
Country	:	US
Telephone Number	:	818-643-7007
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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