Individual
JOANNA P GOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5805 SEPULVEDA BLVD, SUITE 610, VAN NUYS, CA 91411-2546
(818) 908-8048
(818) 908-8072
Mailing address
12660 RIVERSIDE DR, SUITE 225, NORTH HOLLYWOOD, CA 91607-3429
(818) 487-0040
(818) 487-0050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
499016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
499016
STATE LICENSE
CA
Enumeration date
01/23/2007
Last updated
03/07/2023
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