Individual
GLENN STEWART KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3553 CAMINO MIRA COSTA, SUITE D, SAN CLEMENTE, CA 92672-3512
(949) 661-8014
Mailing address
3553 CAMINO MIRA COSTA, SUITE D, SAN CLEMENTE, CA 92672-3512
(949) 661-8014
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G035304
CA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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