Ear, Nose, Throat and Allergy Group, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EAR, NOSE, THROAT AND ALLERGY GROUP, INC.

Practice address

14642 Newport Avenue
250
Tustin, CA 92780

Phone

(714) 669-4478

Fax

(714) 669-4057

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Albert S. Goh, MD

Title

Provider

Phone

(714) 669-4478

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1386844645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3746",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92781",
            "telephone_number": "714-669-4478",
            "fax_number": "714-669-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVENUE",
            "address_2": "250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-669-4478",
            "fax_number": "714-669-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, THROAT AND ALLERGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-669-4478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.