Healthcare Provider Details

I. General information

NPI: 1265362057
Provider Name (Legal Business Name): MICHAEL NATALIZIO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 BROOKHILL ST
LA CRESCENTA CA
91214-1902
US

IV. Provider business mailing address

3115 BROOKHILL ST
LA CRESCENTA CA
91214-1902
US

V. Phone/Fax

Practice location:
  • Phone: 818-468-9413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: