Individual
FREDERICK KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10155 COLIMA RD, WHITTIER, CA 90603-2042
(562) 692-0383
Mailing address
16009 RANCH LN, LA MIRADA, CA 90638-3483
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95243751
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028846
CA
Other
Enumeration date
04/07/2023
Last updated
03/08/2024
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