Jack A Koch is a Podiatrist in Fullerton, California. Jack A Koch practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jack A Koch is 1447275748. The last update date is 2017-09-26.
Jack A Koch's current location address is 2937 Cardamon Ln, Fullerton, California. You can contact this provider via phone number 7149909153 and fax number 7149909154. The mailing address for Jack A Koch is 2937 Cardamon Ln, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack A Koch |
|---|---|
| Address | 2937 Cardamon Ln, Fullerton, California |
| Phone Number | 7149909153 |
| Fax Number | 7149909154 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1447275748 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2017-09-26 |
Provider Mailing Address Detail
| Address | 2937 Cardamon Ln |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928354307 |
| Phone Number | 7149909153 |
| Fax Number | 7149909154 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E2255 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E22551 | CA | -- | |
| 480005415 | CA | RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Jack A Koch by the Centers for Medicare & Medicaid Services?
The Jack A Koch has been assigned the NPI (National Provider Identifier) 1447275748. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jack A Koch is physically located?
The Jack A Koch is physically situated at the following address: 2937 Cardamon Ln, Fullerton, CA, 928354307.
What is the Jack A Koch's specialty and taxonomy code?
The Jack A Koch's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Jack A Koch receive its 1447275748 assignment from the Centers for Medicare & Medicaid Services?
The Jack A Koch was assigned its 1447275748 by the Centers for Medicare & Medicaid Services on 2006-07-13.
When was the information regarding Jack A Koch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack A Koch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-09-26.