Provider Demographics
NPI:1861053175
Name:NADIA GOEL CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:NADIA GOEL CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-644-1018
Mailing Address - Street 1:PO BOX 571954
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-1954
Mailing Address - Country:US
Mailing Address - Phone:818-644-1018
Mailing Address - Fax:888-343-1018
Practice Address - Street 1:18345 VENTURA BLVD STE 104
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4240
Practice Address - Country:US
Practice Address - Phone:818-644-1018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty