Healthcare Provider Details
I. General information
NPI: 1306868450
Provider Name (Legal Business Name): GERALD FRANK KATZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/24/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
112 LA CASA VIA STE 200
WALNUT CREEK CA
94598-3011
US
IV. Provider business mailing address
112 LA CASA VIA STE 200
WALNUT CREEK CA
94598-3011
US
V. Phone/Fax
- Phone: 925-933-4747
- Fax: 925-933-1638
- Phone: 925-933-4747
- Fax: 925-933-1638
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | G75401 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: