Provider Demographics
NPI:1154668374
Name:SCHERCH, ANGELA DRAPER (LAC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DRAPER
Last Name:SCHERCH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:DRAPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:4271 APPLETON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-1902
Mailing Address - Country:US
Mailing Address - Phone:949-310-5202
Mailing Address - Fax:
Practice Address - Street 1:5005 TEXAS ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3722
Practice Address - Country:US
Practice Address - Phone:949-310-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist