Healthcare Provider Details

I. General information

NPI: 1790846095
Provider Name (Legal Business Name): STANLEY NORMAN KATZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31150 TEMECULA PKWY STE 104
TEMECULA CA
92592-2921
US

IV. Provider business mailing address

31938 TEMECULA PKWY STE A337
TEMECULA CA
92592-6810
US

V. Phone/Fax

Practice location:
  • Phone: 951-303-6900
  • Fax: 951-303-2900
Mailing address:
  • Phone: 951-303-6900
  • Fax: 951-303-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG203155
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME 83086
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: