Healthcare Provider Details

I. General information

NPI: 1780661900
Provider Name (Legal Business Name): ANDREW L. KATZ DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1672 W AVENUE J STE 105
LANCASTER CA
93534-2859
US

IV. Provider business mailing address

1672 W AVENUE J STE 105
LANCASTER CA
93534-2859
US

V. Phone/Fax

Practice location:
  • Phone: 661-249-6555
  • Fax:
Mailing address:
  • Phone: 661-249-6555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE4026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: