Active NPI
Eden Joseph Goldman, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1922305788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31532
- Practice address
- 2211 Corinth Ave
Suite 211
Los Angeles, CA 90064-1650 - Phone
- (310) 990-9648
- Fax
- (424) 208-3752
- NPI assigned
- Feb 14, 2011
- Last updated
- Feb 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31532 | CA | Primary |
Addresses
Primary practice location
2211 Corinth Ave
Suite 211
Los Angeles, CA 90064-1650
Mailing address
2211 Corinth Ave
Suite 211
Los Angeles, CA 90064-1650
Phone (310) 990-9648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1922305788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 CORINTH AVE",
"address_2": "SUITE 211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641650",
"telephone_number": "310-990-9648",
"fax_number": "424-208-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 CORINTH AVE",
"address_2": "SUITE 211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641650",
"telephone_number": "310-990-9648",
"fax_number": "424-208-3752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "EDEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.