Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ali Koochek

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962951624

Ali Koochek is a Student in an Organized Health Care Education/Training Program in Fremont, California. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

39465 Paseo Padre Pkwy St 2100
Fremont, CA 94538-5350
Phone: (510) 745-9159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC10786 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962951624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2016
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address39465 Paseo Padre Pkwy, St 2100, Fremont, CA 94538-5350

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