Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | D28732 | CA |
N | 204E00000X | Oral & Maxillofacial Surgeon | D28732 | CA |
NPI | 1114088721 |
---|---|
Provider Name | Dr. Sheldon H Katz |
First Address | Encino, CA 91316-2805 |
Second Address | Encino, CA 91316-2805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T70452 | (02) | CA |