Healthcare Provider Details

I. General information

NPI: 1629704333
Provider Name (Legal Business Name): TOM FINCH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23455 MARIPOSA AVE
TEHACHAPI CA
93561-8037
US

IV. Provider business mailing address

23455 MARIPOSA AVE
TEHACHAPI CA
93561-8037
US

V. Phone/Fax

Practice location:
  • Phone: 661-343-2051
  • Fax: 661-422-3754
Mailing address:
  • Phone: 661-343-2051
  • Fax: 661-422-3754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: