Jack A Koch
- Male
Medical Specialty
Professional ID
- NPI: 1447275748
- PECOS ID: 3476510132
- Enrollment ID: I20041214000679
- Credential(MD, DO, DPM): DPM
- Medical School:
- Medical School Graduation Year: 1978
Location
- Address1: 2937 Cardamon Lane
- Address2:
- City: Fullerton
- State: California
- Zip Code: 92835
- Phone Number: (714)990-9153
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):