Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G51433 | CA |
N | 2080P0216X | Pediatric Rheumatologist | G51433 | CA |
NPI | 1699737932 |
---|---|
Provider Name | Dr. Albert R Katz |
First Address | Tarzana, CA 91356 |
Second Address | Tarzana, CA 91356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 19/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G514331 | (05) | CA |
A93067 | (02) |