Organization Active NPI

Annie Goh DDS

  • Dentist
  • Lomita, CA
National Provider Identifier
1093773277
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B40937 Issued in CA
Legal business name
ANNIE GOH DDS
Practice address
25897 Western Ave
Suite 2
Lomita, CA 90717-3359
Phone
(310) 530-0900
Fax
(310) 530-8508
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Annie Goh, D.D.S.NPI 1316144918
Title
Owner
Phone
(310) 530-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X B40937 CA Primary

Addresses

Primary practice location

25897 Western Ave
Suite 2
Lomita, CA 90717-3359

Mailing address

25897 Western Ave
Suite 2
Lomita, CA 90717-3359
Phone (310) 530-0900

National Provider Directory

National Provider Directory

Locations

25897 Western Ave
Ste 2
Lomita, CA 90717
Phone (310) 530-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1093773277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25897 WESTERN AVE",
            "address_2": "SUITE 2",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173359",
            "telephone_number": "310-530-0900",
            "fax_number": "310-530-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25897 WESTERN AVE",
            "address_2": "SUITE 2",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907173359",
            "telephone_number": "310-530-0900",
            "fax_number": "310-530-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE GOH DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-530-0900",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B40937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.