Koch, Gregory Lee
Koch, Gregory Lee is an sole proprietor health care provider with primary practice located at 500 City Pkwy W Ste 200 , Orange CA 92868-2941. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Koch, Gregory Lee can be contacted via phone (714) 480-6760.Contact Information
Primary practice address
500 City Pkwy W Ste 200
Orange CA 92868-2941
Phone: (714) 480-6760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY17893 | California |
Profile Details
| NPI number | 1497705347 |
|---|---|
| LBN Legal business name | Koch, Gregory Lee |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Feb 1st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497705347 | NPPES |
| California | Other | PSY17893 | MEDICAL LICENSE |
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