Individual
HILDA B KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 REDONDO AVE., 501, LONG BEACH, CA 90806-2325
(562) 933-0085
(562) 933-0088
Mailing address
2600 ATLANTIC AVE., 501, LONG BEACH, CA 90806-2325
(562) 933-0085
(562) 933-0088
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15135
PA-C LICENSE
CA
Enumeration date
04/30/2007
Last updated
07/08/2007
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