Healthcare Provider Details

I. General information

NPI: 1477405694
Provider Name (Legal Business Name): ANNALISE KAREN GOH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N NORMA ST
RIDGECREST CA
93555-2575
US

IV. Provider business mailing address

2913 BEECH ST
BAKERSFIELD CA
93301-1740
US

V. Phone/Fax

Practice location:
  • Phone: 760-499-7406
  • Fax:
Mailing address:
  • Phone: 661-303-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: