Provider Demographics
NPI:1992930242
Name:GOH, WINSTON LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:LOUIS
Last Name:GOH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SEQUOIA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1827
Mailing Address - Country:US
Mailing Address - Phone:415-963-2441
Mailing Address - Fax:
Practice Address - Street 1:1800 31ST AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4229
Practice Address - Country:US
Practice Address - Phone:415-677-2388
Practice Address - Fax:415-217-4198
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA110090207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program