Healthcare Provider Details

I. General information

NPI: 1114804754
Provider Name (Legal Business Name): MRS. ANNE-CAROLINE ALEXANDRA FLOCH-NGY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 BOCANA ST
SAN FRANCISCO CA
94110-5529
US

IV. Provider business mailing address

173 BOCANA ST
SAN FRANCISCO CA
94110-5529
US

V. Phone/Fax

Practice location:
  • Phone: 510-707-0493
  • Fax:
Mailing address:
  • Phone: 510-707-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: