Provider Demographics
NPI:1699737932
Name:KATZ, ALBERT ROY (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ROY
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18345 VENTURA BLVD, SUITE 420
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-996-1888
Mailing Address - Fax:818-996-7378
Practice Address - Street 1:18345 VENTURA BLVD, SUITE 420
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-996-1888
Practice Address - Fax:818-996-7378
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG514332080P0216X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G514331Medicaid
CA00G514331Medicaid
A93067Medicare UPIN