Organization
J TIMOTHY KATZEN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TIMOTHY KATZEN M.D. (OWNER)
(310) 859-7770
Entity
Organization
Contact information
Practice address
9735 WILSHIRE BLVD, #407, BEVERLY HILLS, CA 90212-2107
(310) 471-5852
(310) 471-3958
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G85745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL320
MEDICARE ID TYPE UNSPECIFIED
CA
Enumeration date
02/01/2007
Last updated
08/05/2011
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