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About me

Mr. Alch has devoted his entire career to litigating medical malpractice, and defective medical device cases. He has helped the firm obtain over $275 million for victims of personal injuries, including some of the largest medical malpractice settlements in California and Nevada history. In 1988, Mr. Alch began his career as an attorney defending and medical providers, hospitals, HMOs and manufacturers in medical malpractice and product liability cases. In 1997, Mr. Alch brought his extensive knowledge of the strategies that medical providers, insurance companies, HMOs and manufacturers employed to defend themselves, and began representing injured victims with the Law Offices of Dr. Bruce G. Fagel and Associates.


Legal Responsibilities and Accomplishments

Mr. Alch has extensive experience litigating cases involving brain damage, birth injuries, paralysis, death, and cancer. Mr. Alch has successfully litigated cases involving all types of medical malpractice including obstetrical and surgical malpractice, hospital malpractice, nursing malpractice, and HMO malpractice, as well as cases involving defective medical devices. Mr. Alch has also successfully argued before the Court of Appeals. Over the years, as part of recovering over $275 million for plaintiffs, Mr. Alch has helped the firm's clients obtain some of the largest medical malpractice settlements in California and Nevada, including:


$11 million in Bakersfield for a child who sustained kernicterus from excessive levels of bilirubin and jaundice, $10 million in Riverside for a patient who suffered a perforated bowel, $9 million in Las Vegas for a premature baby who suffered aspyhxia and brain damage, $8.86 million in Los Angeles for a child whose is on lifetime TPN because of a perforated bowel obstruction, $8.2 million in Long Beach for a baby who suffered hypoxic-ischemic encephalopathy, cerebral palsy and seizures from a negligent delivery, $7.5 million in Alameda County for a child who suffered brain injury from a negligent delivery and resuscitation, and then received brain cooling treatment and required a gastrostomy tube for feeding, $7.5 million in Modesto for a child who suffered a traumatic birth injury resulting in cerebral palsy, $7.5 million in Fresno for a baby who has cerebral palsy and seizures, and $7.2 million in Sacramento for a baby who suffered ischemic brain damage in the neonatal intensive care unit.



Mr. Alch received his Bachelor's Degree in 1985 from UCLA, and his Law Degree in 1988 from Loyola Law School in Los Angeles. Mr. Alch is admitted to practice law in California, Nevada and Arizona. He was admitted to practice law in California in 1988, Nevada in 1999, and Arizona in 2010. Mr. Alch litigates in counties throughout California, Nevada and Arizona, as well as in the Federal Courts. Mr. Alch has also represented plaintiffs in Washington, and affiliates with local counsel to assist the firm.

Mr. Alch received a Commendation from the City of Lancaster for his accomplishments as a medical malpractice attorney for plaintiffs. Mr. Alch's successes have been featured on TV, in newspapers, and in magazines.


Professional Associations

  • Consumer Attorneys Association of Los Angeles

  • Consumer Attorneys Association of California

  • Nevada Trial Lawyers Association

  • Arizona Trial Lawyers Association


Community Involvement

Mr. Alch is a member of the Consumer Attorneys Association of Los Angeles, Consumer Attorneys Association of California, Nevada Trial Lawyers Association, and the Arizona Trial Lawyers Association. Mr. Alch has for many years volunteered his time to the public schools and as a AYSO soccer coach. Along with his wife and two teenage daughters, Mr. Alch has held an annual fundraiser for nearly a decade that supports a local food bank, the men and women of the Armed Forces and a local toy drive.


Practice areas


  1. Medical Malpractice: 90%
    27 years, 1 thousand cases
  2. Defective Products: 10%
    27 years, 100 cases



Contingent (15-40%)

Attorney endorsements

4 total 

Are you an attorney? Endorse this lawyer

  • Dominique Ann Pollara

    Tom is an extremely knowledgeable and formidable adversary. Having been on the other side of many cases from Tom, I have always been impressed with his dedication to his clients


    Dominique Pollara Medical Malpractice Attorney
    Relationship: Opposing Counsel on matter

  • Eduardo Jesus Ascencio

    Tom Alch is an incredibly intelligent, ardent and compassionate litigator who has devoted his legal career to advocating for the rights of injured medical negligence Plaintiffs. Tom has successfully achieved the uncanny ability to balance the art of being a staunch and powerful adversary while maintaining professional decorum and civility. Tom has achieved extraordinary results on behalf of his clients as evidenced by his numerous multi-million dollar settlements over the course of his legal career. He is equally well-respected by Plaintiffs’ litigators and the defense bar.


    Eduardo Ascencio Medical Malpractice Attorney
    Relationship: Fellow lawyer in community

Contact info

Law Offices of Bruce G. Fagel and Associates

100 N Crescent Dr #360
Beverly Hills, CA, 90210


AZActive 201008/01/2015
We have not found any instances of professional misconduct for this lawyer.
Avvo contributions
Legal answers
Award nameGrantorDate granted
Commendation from the MayorCity of Lancaster2011
Work experience
TitleCompany nameDuration
AttorneyLaw Offices of Bruce G. Fagel and Associates1997 - Present
Association namePosition nameDuration
Consumer Attorney Association of Los AngelesN/AN/A
Arizona Association for JusticeN/AN/A
Consumer Attorneys of CaliforniaN/AN/A
Nevada Justice AssociationN/AN/A
Legal cases
Case nameOutcome
D.Y. v. Doe Las Vegas Hospital, and Roe PhysiciansSetttled for $9,000,000
O.P. v. Doe Bakersfield Hospital and Roe physicianSettled for $11,000,000
J.F. v Doe Palm Springs Hospital, and Roe PhysiciansSettled for $10,000,000.
See all legal cases 
Publication nameTitleDate
Daily NewsCouple Gets $565,000 for Death of Baby2000
School nameMajorDegreeGraduated
Loyola Law School, Loyola Marymount UniversityN/AJD - Juris Doctor1988
University of California - Los AngelesHistoryBA - Bachelor of Arts1985
Speaking engagements
Conference nameTitleDate
KTNV Channel 13Fighting For Life2011
Heidi Harris Radio ShowPatient Bill of Rights2001