ARROWHEAD ACUPUNCTURE (NPI# 1316418254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316418254 |
| Entity Type | Organization |
| Organization Name | ARROWHEAD ACUPUNCTURE |
| Practice Address |
29099 Hospital Rd Suite 112 B Lake Arrowhead CA 92352 |
| Mailing Address |
Po Box 3507 Lake Arrowhead CA 92352-3507 |
| Practice Telephone | 9094851616 |
| Mailing Telephone | 9094851616 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MR. THOMAS CHARLES FLACH JR. (OWNER) |
| Authorized Official Telephone | 8587617432 |
| Authorized Official Credential | L.AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
29099 HOSPITAL RD SUITE 112 B |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706394 | Julie Anne Monroe | Family Medicine | 29099 Hospital Rd, Ste 204a, Lake Arrowhead, CA 92352 | 2005-08-09 |
| 1376781682 | Donald D Doty | Family Medicine | 29099 Hospital Rd, Ste 112, Lake Arrowhead, CA 92352 | 2009-01-23 |
| 1033311998 | Laurie Kathleen Everett | Physical Therapist | 29099 Hospital Rd, Suite 106, Lake Arrowhead, CA 92352-0070 | 2007-06-04 |
| 1750594735 | Amie Marion Black | Technician, Other | 29099 Hospital Rd, Suite 103, Lake Arrowhead, CA 92352-1476 | 2007-05-07 |
| 1780719393 | William Henry Deschner | Obstetrics & Gynecology | 29099 Hospital Rd, Ste 114, Lake Arrowhead, CA 92352-1570 | 2007-02-22 |
| 1407926215 | Pharmacy Service Inc | Pharmacy | 29099 Hospital Rd, Ste 101, Lake Arrowhead, CA 92352 | 2006-11-09 |
| 1548377666 | Kieth J. Burkart, O.d., A Professional Corporation | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | 2006-08-24 |
| 1366558314 | Henry D'antonio | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2993 | 2006-08-22 |
| 1891706354 | Kieth J Burkart | Optometrist | 29099 Hospital Rd, Suite 205, Lake Arrowhead, CA 92352-2226 | 2006-08-10 |
| 1376506857 | Erika Brigitte Herrmann | Nurse Anesthetist, Certified Registered | 29099 Hospital Rd, #200, Lake Arrowhead, CA 92352 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.