# MICHAEL D. KOTZEN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013105972
- **Authorized official:** DR. MICHAEL DAVID KOTZEN DPM (CEO)
- **Authorized official phone:** (818) 452-9902

## Contact information

- **Practice address:** 12520 MAGNOLIA BLVD STE 304, VALLEY VILLAGE, CA 91607-2355
- **Practice address phone:** (818) 452-9902
- **Practice address fax:** (818) 452-9882
- **Mailing address:** 12520 MAGNOLIA BLVD STE 304, VALLEY VILLAGE, CA 91607-2355
- **Mailing address phone:** (818) 452-9902
- **Mailing address fax:** (818) 452-9902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4686 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2007
- **Last updated:** 09/08/2020