Jack Koch, DPM

NPI 1447275748 · on the registry since 2006 · sole proprietor

Practice

Address: 425 W Bonita Ave Ste 110
San Dimas, CA 91773
Phone: (714) 990-9153
Fax: (714) 990-9154
Organisation at this address: Michael Couris Md
Thomas E Smith Dpm
Ayoub Podiatry Group
Walker Podiatry Group
A Spirit Of Support Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 25

Registry record

Primary taxonomy: 213E00000X
213E00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-09-26

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