Search › California › 1041C0700X
Edward Koch, ASW
NPI 1992779367 · on the registry since 2006
Practice
- Address
- 10633 Grissom Ave
Mather, CA 95655 - Phone
- (916) 366-5433
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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