Search › California › 208C00000X
David Koller
NPI 1417367517 · on the registry since 2014
Practice
- Address
- 23451 Madison St Ste 340
Torrance, CA 90505 - Phone
- (310) 373-6864
- Organisation at this address
- Safe Reset
Safe Re-Set
Acupuncture Clinic
Jason Phan Dds Inc.
Skypark Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Additional practice sites
- 593 Eddy St., Providence, RI
Registry record
- Primary taxonomy
- 208C00000X
208C00000X
- Also registered as
- 208C00000X
- Licence states on file
- RI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California