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Jack A Koch, DPM
Podiatrist in San Dimas, California
NPI 1447275748

Jack A Koch is a Podiatrist based in Fullerton, CA. Jack A Koch practices in San Dimas, CA and has the professional credentials of DPM. The NPI Number for Jack A Koch is 1447275748 and holds a License No. E2255 (California).

The current practice location address for Jack A Koch is 425 W Bonita Ave Ste 110, San Dimas, CA and can be reached out via phone at 714-990-9153 and via fax at 714-990-9154.

Location: 425 W Bonita Ave Ste 110, San Dimas, CA, 92835-4307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447275748
Provider Name
Jack A Koch
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
425 W Bonita Ave Ste 110, San Dimas, CA, 92835-4307
Phone Number
714-990-9153
Fax Number
714-990-9154
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000E22551 05 CA
480005415 01 CA RAILROAD
institution
Provider Business Practice Location Address Details
Address
425 W Bonita Ave Ste 110
City
San Dimas
State
California
Zip
91773-2543
Phone Number
714-990-9153
Fax Number
714-990-9154
person
Provider Business Mailing Address Details
Address
425 W Bonita Ave Ste 110
City
San Dimas
State
California
Zip
91773-2543
Phone Number
714-990-9153
Fax Number
714-990-9154
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E2255 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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