Jack A Koch is a San Dimas, California based male podiatrist who is specialized in Podiatry. Active license number of Jack A Koch for Podiatry is E2255 in California. Jack A Koch is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Jack A Koch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
425 W Bonita Ave Ste 110, San Dimas, California, 91773-2543
Phone:
714-990-9153
Fax:
714-990-9154
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1447275748
NPI Enumeration Date:
13 Jul, 2006
NPI Last Update On:
26 Sep, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack A Koch are as mentioned below.
License Number
Specialization
State
Status
E2255
Podiatry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack A Koch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000E22551
Medicaid
California
480005415
Other
California
RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2937 Cardamon Ln, Fullerton, California
Zip:
92835-4307
Phone Number:
714-990-9153
Fax Number:
714-990-9154
Patients can reach Jack A Koch at 425 W Bonita Ave Ste 110, San Dimas, California or can call to book an appointment on 714-990-9153. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.
Dr. Edwin Oghoorian, DPM 24+ yr exp.Speciality: Podiatrist - Primary Podiatric Medicine Address: 150 W Foothill Blvd Unit F, CA Phone: 626-385-3338 Fax: 626-914-4119
Ira A Diamond, DPM Speciality: Podiatrist - Public Medicine Address: 425 W Bonita Ave Ste 110, CA Phone: 909-599-0981 Fax: 909-592-0738
Thomas E Smith, DPM Speciality: Podiatrist Address: 425 W Bonita Ave Ste 110, CA Phone: 909-599-0981 Fax: 909-592-0738