Provider Demographics
NPI:1861762452
Name:J AND L GOLDMAN, INC
Entity type:Organization
Organization Name:J AND L GOLDMAN, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-714-2299
Mailing Address - Street 1:20121 VENTURA BLVD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2546
Mailing Address - Country:US
Mailing Address - Phone:818-714-2299
Mailing Address - Fax:818-979-7188
Practice Address - Street 1:20121 VENTURA BLVD
Practice Address - Street 2:SUITE 313
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2546
Practice Address - Country:US
Practice Address - Phone:818-714-2299
Practice Address - Fax:818-979-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care