Individual
EMMANUEL P KATSAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
795 E 2ND ST STE 7, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Mailing address
795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20A6857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX86570
—
CA
Enumeration date
07/21/2006
Last updated
06/22/2021
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