Provider Demographics
NPI:1164951299
Name:F.H.PLOCH, MD,INC
Entity Type:Organization
Organization Name:F.H.PLOCH, MD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORIAN
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:PLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-624-8100
Mailing Address - Street 1:154 GRIFFEN LN
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-7024
Mailing Address - Country:US
Mailing Address - Phone:707-252-7729
Mailing Address - Fax:
Practice Address - Street 1:1020 NUT TREE RD STE 190
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-4100
Practice Address - Country:US
Practice Address - Phone:707-624-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC35122261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation