NPI Code Details Logo

NPI 1194835058

NPI 1194835058 : LOUIS J KATZMAN M.D. : SAN DIEGO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194835058
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LOUIS J KATZMAN M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/30/2006
-----------------------------------------------------
    Last Update Date     |    05/04/2018
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6071 VIA REGLA 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92122-3924
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-444-5917
-----------------------------------------------------
    Fax                  |    619-444-1740
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6071 VIA REGLA 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92122-3924
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-457-1973
-----------------------------------------------------
    Fax                  |    619-615-2249
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    G27392
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    G27392
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.