Healthcare Provider Details

I. General information

NPI: 1134412489
Provider Name (Legal Business Name): ALEXANDER ZE'EV KATZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MERCED ST DEPT. OF EMERGENCY MEDICINE
SAN LEANDRO CA
94577-4201
US

IV. Provider business mailing address

2500 MERCED ST DEPT. OF EMERGENCY MEDICINE
SAN LEANDRO CA
94577-4201
US

V. Phone/Fax

Practice location:
  • Phone: 510-454-1000
  • Fax:
Mailing address:
  • Phone: 510-454-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT199443
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMT199443
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: