MEDICARE: DR. LOUIS J KATZMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G27392	CA
2	207P00000X	Emergency Medicine Physician	G27392	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1790058501	OTHER	CA	NPI (CORPORATION)
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1194835058	OTHER	CA	NPI (INDIVIDUAL)

General Provider Information

NPI Number	:	1194835058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS J KATZMAN M.D.

Provider Business Mailing Address
First Line	:	6071 VIA REGLA
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-3924
Country	:	US
Telephone Number	:	858-457-1973
Fax Number	:	619-615-2249

Provider Business Practice Location Address
First Line	:	6071 VIA REGLA
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-3924
Country	:	US
Telephone Number	:	619-444-5917
Fax Number	:	619-444-1740

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/04/2018

Similar Medicare Providers

1790058501 — LOUIS J KATZMAN MD A PROFESSIONAL CORPORATION
Practice Location Address:

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1518035898 — CHRISTIE LEE HARALSON
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1205956455 — PREETI PRESSWALA MFT, LPC
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Directions to “ DR. LOUIS J KATZMAN M.D.” Practice Location

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