Individual
ANNIE THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 364-4157
Mailing address
65 SCHARFF AVE, SAN JOSE, CA 95116-2557
(408) 364-4157
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
02/20/2026
Last updated
03/23/2026
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