Provider Demographics
NPI:1669091252
Name:GOFF, CATHERINE (MD, MPH)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:GOFF
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 CASS ST STE 112
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2810
Mailing Address - Country:US
Mailing Address - Phone:442-400-0606
Mailing Address - Fax:
Practice Address - Street 1:4655 CASS ST STE 112
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2810
Practice Address - Country:US
Practice Address - Phone:858-281-5106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA186036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine