Thomas Charles Flach Jr., L.AC.

Individual provider Active NPI Acupuncturist · Cedar Glen, CA

NPI 1205239258 · NPPES record last updated Jun 20, 2018

Key facts

NPI
1205239258
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC11773 (CA)
Practice address
29135 Hook Creek Rd
Cedar Glen, CA 92321
Phone
(858) 761-7432
NPI assigned
Oct 6, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC11773CAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11773 CA Yes

Addresses

Primary practice location

29135 Hook Creek Rd
Cedar Glen, CA 92321

Mailing address

PO Box 1186
Cedar Glen, CA 92321-1186
Phone (858) 760-7432

Other providers in Cedar Glen, CA

All providers in Cedar Glen, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.