Search › California › 171M00000X
Michael Peacock
NPI 1538613948 · on the registry since 2016 · sole proprietor
Practice
- Address
- 113 E F St
Tehachapi, CA 93561 - Phone
- (661) 822-8223
- Organisation at this address
- Carla Cook
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California