Individual
DR. KATHERINE MARY OZANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2393
Mailing address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2393
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G47006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G470060
—
CA
Enumeration date
08/14/2006
Last updated
11/02/2012
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