MEDICARE: DR. RONALD LOUISE KATZ M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G31015	CA

General Provider Information

NPI Number	:	1649276577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD LOUISE KATZ M. D.

Provider Business Mailing Address
First Line	:	355 PLACENTIA AVE
Second Line	:	STE 208
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3302
Country	:	US
Telephone Number	:	949-645-3532
Fax Number	:	949-645-3985

Provider Business Practice Location Address
First Line	:	355 PLACENTIA AVE
Second Line	:	STE 208
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3302
Country	:	US
Telephone Number	:	949-645-3532
Fax Number	:	949-645-3985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	07/09/2007

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