Healthcare Provider Details

I. General information

NPI: 1417209065
Provider Name (Legal Business Name): DR. MARLA KATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4370 TUJUNGA AVE STE 150464
STUDIO CITY CA
91604-2776
US

IV. Provider business mailing address

11693 SAN VICENTE BLVD #464
LOS ANGELES CA
90049-5105
US

V. Phone/Fax

Practice location:
  • Phone: 818-259-9086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: