Healthcare Provider Details

I. General information

NPI: 1639025018
Provider Name (Legal Business Name): NELSON T GOFF DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74282 HIGHWAY 111
PALM DESERT CA
92260-4139
US

IV. Provider business mailing address

PO BOX 7
PALM DESERT CA
92261-0007
US

V. Phone/Fax

Practice location:
  • Phone: 760-365-0881
  • Fax: 760-365-7681
Mailing address:
  • Phone: 760-401-0341
  • Fax: 760-365-7681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. NELSON T GOFF
Title or Position: OWNER/DOCTOR
Credential: DC
Phone: 760-365-0881