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

Jack A Koch, DPM

Individual provider Podiatrist · NPI 1447275748

Jack A Koch, DPM is a Podiatrist in San Dimas, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Phone: (714) 990-9153
Fax: (714) 990-9154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E2255 (CA)

Record details

NPI number1447275748
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESSeptember 26, 2017
Mailing address2937 Cardamon Ln, Fullerton, CA 92835-4307

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