Healthcare Provider Details

I. General information

NPI: 1659466480
Provider Name (Legal Business Name): LAURA KATZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 BATH ST. 201
SANTA BARBARA CA
93105
US

IV. Provider business mailing address

238 OCEAN VIEW AVE
CARPINTERIA CA
93013
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-3234
  • Fax: 805-563-3130
Mailing address:
  • Phone: 805-684-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberC418747
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: