Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2017018418 | MO |
Y | 2081P2900X | Pain Medicine | 18027 | CA |
NPI | 1164942223 |
---|---|
Provider Name | Dr. Seth Michael Katzen |
First Address | La Jolla, CA 92037-1300 |
Second Address | La Jolla, CA 92093-1350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2017 |
Last Update Date | 23/05/2021 |