Provider Demographics
NPI:1053469981
Name:KATZ, MARK R (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:R
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12845 POINTE DEL MAR WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3862
Mailing Address - Country:US
Mailing Address - Phone:858-259-0599
Mailing Address - Fax:858-794-7218
Practice Address - Street 1:12845 POINTE DEL MAR WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3862
Practice Address - Country:US
Practice Address - Phone:858-259-0599
Practice Address - Fax:858-794-7218
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2009-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG396392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry