Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK A KOCH, DPM
Active Sole ProprietorJACK A KOCH, DPM is a Podiatrist healthcare provider located in SAN DIMAS, California. NPI 1447275748 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SAN DIMAS, CA
Registration Details
- NPI Number
- 1447275748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.09919784633 yrs)
- Last Updated
- Sep 26, 2017
- License
-
E2255 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 W BONITA AVE STE 110SAN DIMAS, CA, 917732543Browse CA providers · Browse ZIP 91773
- Phone
- 7149909153
- Fax
- 7149909154
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in SAN DIMAS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM GERALD GOLDBLATT | DPM | 1467420802 |
| WILLIAM G. AYOUB | D.P.M. | 1639137425 |
| WILLIAM B WALKER | DPM | 1841225422 |
| THOMAS E SMITH | DPM | 1417982950 |
| MICHAEL K FAIRBANKS | DPM | 1578678926 |
| WILLIAM H TABB | DPM | 1942307764 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.